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EDWIN R MARTINEZ MEJIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7806 LAKE UNDERHILL RD STE 105, ORLANDO, FL 32822-8232
(407) 601-0888
(407) 601-0931
Mailing address
483 N SEMORAN BLVD, STE 102, WINTER PARK, FL 32792-3800
(407) 571-1056
(321) 274-0322

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
L3390
TX
207RC0000X
Cardiovascular Disease Physician
Primary
ME95229
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0038QR
BCBS OF TEXAS
TX
01
060070478
RAILROAD MEDICARE NUMBER
TX
05
147494201
TX
01
8F4950
BCBS OF TEXAS
TX
Enumeration date
10/06/2006
Last updated
10/02/2019
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