Individual
DR. JORDAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 422-4971
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(337) 609-4593
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME168592
FL
208D00000X
General Practice Physician
58464
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2020
Last updated
12/10/2024
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