Martha Short, ATC, LAT

NPI 1215021555 · on the registry since 2006

Practice

Address: 2620 Blanding Blvd
Suite 28
Middleburg, FL 32068
Phone: (904) 282-8640
Fax: (904) 282-8696
Organisation at this address: Dennings Pharmacy Llc
Functional Solutions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida