Most Relevant Information
Provider Data
| NPI Number: | 1003028853 |
| Provider Name: | MARK MARTINA |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | AY103 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
15271 MCGREGOR BLVD STE 17
FORT MYERS
FL
339081900
Practice Location Phone/Fax
| Phone: | 2394332060 |
| Fax: | 2394330925 |
Provider Mailing Location
15271 MCGREGOR BLVD STE 17
FORT MYERS
FL
339081900
Provider Mailing Phone/Fax
| Phone: | 2394332060 |
| Fax: | 2394330925 |