Individual
MR. EDWIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 750-8894
(407) 352-2547
Mailing address
5900 LAKE ELLENOR DR, STE 700, ORLANDO, FL 32809-4643
(407) 750-8894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11014210
FL
363L00000X
Nurse Practitioner
Primary
APRN11014210
FL
Other
Enumeration date
07/14/2021
Last updated
03/03/2022
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