| Doctor Name: | MRS. REBECCA J MARTIN |
| NPI Number: | 1053592048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.N. |
| License Number: | ARNP 9305760 |
| Business Practice Address: | 801 Beville Rd Suite 101 South Daytona, FL - 321191860 |
| Business Phone Number: | 3867882300 |
| Business Fax Number: | 3867561697 |
| Mailing Address: | 801 Beville Rd, Suite 101 SOUTH DAYTONA |
| State: | FL |
| Postal Code: | 321191860 |
| Phone Number: | 3867882300 |
| Fax Number: | 3867561697 |
| NPI Enumeration Date: | 11/18/2007 |
| NPI Last Update Date: | 07/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP 9305760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |