Most Relevant Information
Provider Data
| NPI Number: | 1003428103 |
| Provider Name: | ADOLFO MARTIN PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA26689 |
Most Important Dates
| Enumeration Date: | 08/19/2020 |
| Last Updated: | 08/19/2020 |
Provider Practice Location
15271 NW 60TH AVE
MIAMI LAKES
FL
330142422
Practice Location Phone/Fax
| Phone: | 3054566700 |
| Fax: | 7868705196 |
Provider Mailing Location
15271 NW 60TH AVE
MIAMI LAKES
FL
330142422
Provider Mailing Phone/Fax
| Phone: | 3054566700 |
| Fax: | 7868705196 |