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NPI Code Detail

MEDICARE: MARY MARTIN ARNP

MEDICARE:   MARY  MARTIN  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2957742FL

General Provider Information

NPI Number : 1316365745
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MARTIN ARNP
Provider Business Mailing Address
First Line : 713 E MARION AVE
Second Line : STE 123
City : PUNTA GORDA
State : FL
Zip : 33950-3862
Country : US
Telephone Number : 941-833-1580
Fax Number : 941-258-3519
Provider Business Practice Location Address
First Line : 713 E MARION AVE
Second Line : STE 123
City : PUNTA GORDA
State : FL
Zip : 33950-3862
Country : US
Telephone Number : 941-833-1580
Fax Number : 941-258-3519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2014
Last Update Date : 01/05/2026

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Directions to “ MARY MARTIN ARNP” Practice Location

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