Individual
VIVIANA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3723 SE 17TH ST, OCALA, FL 34471-4915
(352) 857-3556
Mailing address
3723 SE 17TH ST, OCALA, FL 34471-4915
(352) 857-3556
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA21240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1123
NA
FL
Enumeration date
08/16/2019
Last updated
08/16/2019
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