Individual
ANDRES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4801 HOLLYWOOD BLVD STE B, HOLLYWOOD, FL 33021-6545
(954) 927-5905
Mailing address
175 NE 203RD TER, MIAMI GARDENS, FL 33179-6003
(786) 315-0567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001088
PR
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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