Individual
DR. ANGELIQUE THAI MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, DIVISION OF PEDIATRICS, INPATIENT, HOLLYWOOD, FL 33021
(954) 265-6301
(954) 985-1434
Mailing address
1117 E HALLANDALE BEACH BLVD, HALLANDALE, FL 33009
(954) 457-8771
(954) 266-4006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME100718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-129-500
—
FL
Enumeration date
10/17/2007
Last updated
03/23/2021
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