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General NPI Number Information
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NPI Number | 1942479183
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Entity Type | Individual
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Provider Name | PATRICIA MARY MARTIN DPT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 9113 IVEY HILL CT
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City | ORLANDO
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State | FL
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Zip | 32819-4066
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Country | US
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Telephone | 734-780-4517
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Fax | 904-341-5249
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Provider Business Mailing Address
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Address Line | 12276 SAN JOSE BLVD BLDG 700
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8628
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Country | US
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Telephone | 813-280-0124
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Fax | 904-341-5249
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 21680
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT32510
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License Number State | FL
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