Provider Demographics
NPI:1245026780
Name:CARLTON, MARTHA CAMBRON (MA)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:CAMBRON
Last Name:CARLTON
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 REMINGTON OAKS LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-4789
Mailing Address - Country:US
Mailing Address - Phone:863-698-3578
Mailing Address - Fax:
Practice Address - Street 1:7005 REMINGTON OAKS LOOP
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-4789
Practice Address - Country:US
Practice Address - Phone:863-698-3578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist