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Organization
TALLAHASSEE ENHANCED CARE PA
Active
Organization
TALLAHASSEE ENHANCED CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINO MARTINEZ MD (PRESIDENT)
(850) 354-8387
Entity
Organization
Contact information
Practice address
4012 KELCEY CT STE 203, TALLAHASSEE, FL 32308-5986
(850) 354-8387
(850) 329-7878
Mailing address
4012 KELCEY CT STE 203, TALLAHASSEE, FL 32308-5986
(850) 354-8387
(850) 329-7878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME110239
FL LICENSE
FL
Enumeration date
03/06/2019
Last updated
10/23/2019
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