Individual
LIDIA M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2501 N ORANGE AVE STE 310, ORLANDO, FL 32804-4642
(407) 303-2001
Mailing address
2501 N ORANGE AVE STE 310, ORLANDO, FL 32804-4642
(973) 572-8144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711921
NY
163W00000X
Registered Nurse
RN9587881
FL
363LP0200X
Pediatric Nurse Practitioner
383662
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11031064
FL
Other
Enumeration date
08/09/2023
Last updated
05/29/2024
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