Provider Demographics
NPI:1407068422
Name:HUIE, MARTHA B (AP DIPL NCCAOM)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:B
Last Name:HUIE
Suffix:
Gender:F
Credentials:AP DIPL NCCAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 PROCTOR RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-6444
Mailing Address - Country:US
Mailing Address - Phone:941-921-8199
Mailing Address - Fax:
Practice Address - Street 1:2840 PROCTOR RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-6444
Practice Address - Country:US
Practice Address - Phone:941-921-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1656171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist