Provider Demographics
NPI:1366710477
Name:MARTI, MARIA-TERESA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARIA-TERESA
Middle Name:
Last Name:MARTI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11758 HAWK HOLW
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8403
Mailing Address - Country:US
Mailing Address - Phone:561-333-4432
Mailing Address - Fax:
Practice Address - Street 1:10420 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3172
Practice Address - Country:US
Practice Address - Phone:561-791-9218
Practice Address - Fax:561-791-9884
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50062183500000X
CO16932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist