REBECCA D MARTIN
Nursing at 136 Way, Largo, FL

License number
Florida 2736202
Issued Date
Jul 7, 1993
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
9151 136Th Way, Largo, FL 33776
Phone
(727) 272-1844
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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REBECCA D. MARTIN, ARNP, PA

Largo, FL

Registration:
May 31, 2013
Addresses:
9303 Seminole Blvd SUITE A, Seminole, FL 33772 (Physical)
9035 Park Blvd, Largo, FL 33777
State ID:
P13000047631
Business type:
Florida Profit Corporation
Secretary, Treasurer, President:
Rebecca D Martin (Secretary, Treasurer, President), 9303 Seminole Blvd, Seminole, FL 33772 (Physical)
Agent:
Rebecca Martin,9303 Seminole Blvd SUITE A, Seminole, FL 33772 (Physical)
EIN:
46-2951516

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