Individual
MRS. JENNIFER A MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7700 SW 104 ST, MIAMI, FL 33156
(305) 279-7546
(305) 279-4180
Mailing address
7700 SW 104 ST, MIAMI, FL 33156
(305) 279-7546
(305) 279-4180
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
PA 9104126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 9104126
LICENSE
FL
Enumeration date
07/27/2007
Last updated
07/25/2016
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