Martin, Nikki

Martin, Nikki is an sole proprietor health care provider with primary practice located at 4273 Dana St , Pace FL 32571-2009. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Martin, Nikki can be contacted via phone (850) 865-3981.

Contact Information

Primary practice address
4273 Dana St Pace FL 32571-2009
Phone: (850) 865-3981
Fax: (866) 675-6298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9778 Florida

Profile Details

NPI number 1104019256
LBN Legal business name Martin, Nikki
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2007
Last updated Dec 14th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104019256 NPPES
Florida MEDICAID 019257300

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