Individual
FERNANDO EMILIO MARTINEZ ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10610 COLONIAL BLVD, FORT MYERS, FL 33913-8701
(239) 201-2712
Mailing address
10610 COLONIAL BLVD, FORT MYERS, FL 33913-8701
(239) 201-2712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27293
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2020
Last updated
10/04/2022
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