Individual
JOSE ERNESTO MARTINEZ GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1226 STAMFORD ST, PORT CHARLOTTE, FL 33952-2818
(818) 669-3091
Mailing address
1226 STAMFORD ST, PORT CHARLOTTE, FL 33952-2818
(818) 669-3091
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
583480
FL
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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