Individual
KAILUMA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 459-2094
Mailing address
1515 NW 182ND AVE, PEMBROKE PINES, FL 33029-3042
(305) 450-8918
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS15724
FL
208000000X
Pediatrics Physician
UO4875
FL
Other
Enumeration date
08/07/2018
Last updated
10/28/2025
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