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Organization

EMANUEL MARTINEZ, MD AND ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMANUEL MARTINEZ MD (OWNER PRESIDENT)
(904) 940-2200
Entity
Organization

Contact information

Practice address
1555 KINGSLEY AVE, SUITE 101, ORANGE PARK, FL 32073-4560
(904) 278-4999
(904) 278-8891
Mailing address
315 W TOWN PL, SUITE 3, ST AUGUSTINE, FL 32092-3104
(904) 940-2200
(904) 940-2201

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8366
FL
1041C0700X
Clinical Social Worker
SW953
FL
2084P0800X
Psychiatry Physician
Primary
ME68758
FL
363LF0000X
Family Nurse Practitioner
ARNP9181473
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9181473
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9222756
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
ARNP9208000
FL

Other

Enumeration date
04/26/2007
Last updated
12/08/2015
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