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Individual

DR. DEBORAH ANN MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3185 W VINE ST, KISSIMMEE, FL 34741-3738
(407) 569-1260
(833) 963-0109
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN625
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017772900
FL
Enumeration date
06/06/2007
Last updated
11/23/2021
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