Individual
AMANDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1936 BRIGATINE CV, OVIEDO, FL 32765-2704
(856) 625-6914
Mailing address
1936 BRIGATINE CV, OVIEDO, FL 32765-2704
(856) 625-6914
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
250434
FL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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