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SAMUEL MARTIN
>> Genetic Counselor, MS >> Other Service ProvidersRegistrant NPI Number: 1184198343
Individual Registrant: SAMUEL MARTIN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
18040 VIA BELLAMARE LN MIROMAR LAKES, FL 33913-7606 US
Tel: 646-421-8499 Fax: --
Tel: 646-421-8499 Fax: --
Contact information for business:
18040 VIA BELLAMARE LN MIROMAR LAKES, FL 33913-7606 US
Tel: 646-421-8499 Fax: --
Tel: 646-421-8499 Fax: --
Registration Information:
NPI: 1184198343
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 170300000X | Other Service Providers Genetic Counselor, MS |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
