Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | OS13445 | FL |
NPI | 1528351640 |
---|---|
Provider Name | Dr. Laura Martin |
First Address | Miami, FL 33136-2137 |
Second Address | Miami, FL 33136-2137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2011 |
Last Update Date | 15/10/2018 |