person
Mr. Ricardo Martin, PA-C
Medical Physician Assistant in Daytona Beach, Florida
NPI 1265780688

Ricardo Martin is a Medical Physician Assistant based in Daytona Beach, FL and is specialized in Medical. Ricardo Martin practices in Daytona Beach, FL and has the professional credentials of PA-C. The NPI Number for Ricardo Martin is 1265780688 and holds a License No. PA9106632 (Florida).

The current practice location address for Ricardo Martin is 303 N Clyde Morris Blvd, Daytona Beach, FL and can be reached out via phone at 386-425-2285 and via fax at 386-425-7522.

Location: 303 N Clyde Morris Blvd, Daytona Beach, FL, 32114-2709
person
Provider Profile Details
NPI Number
1265780688
Provider Name
Ricardo Martin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
303 N Clyde Morris Blvd, Daytona Beach, FL, 32114-2709
Phone Number
386-425-2285
Fax Number
386-425-7522
Provider Enumeration Date
08/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9106632 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
303 N Clyde Morris Blvd
City
State
Zip
32114-2709
Phone Number
386-425-2285
Fax Number
386-425-7522
person
Provider Business Mailing Address Details
Address
303 N Clyde Morris Blvd
City
State
Zip
32114-2709
Phone Number
386-425-2285
Fax Number
386-425-7522
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9106632 (Florida)
Definition
Definition to come...
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