Martin, Victoria

Martin, Victoria is an sole proprietor health care provider with primary practice located at 105 Mariner Health Way Ste 213 , Saint Augustine FL 32086-3251. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Martin, Victoria can be contacted via phone (904) 217-4259.

Contact Information

Primary practice address
105 Mariner Health Way Ste 213 Saint Augustine FL 32086-3251
Fax:
Website:

Health care specialties

Profile Details

NPI number 1750760435
LBN Legal business name Martin, Victoria
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2015
Last updated Apr 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750760435 NPPES
Florida MEDICAID 014970600

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