Organization
HEALTHPARK MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO MARTINEZ (OWNER)
(954) 573-5464
Entity
Organization
Contact information
Practice address
2853 EXECUTIVE PARK DR STE 104, WESTON, FL 33331-3656
(786) 615-7164
Mailing address
2853 EXECUTIVE PARK DR STE 104, WESTON, FL 33331-3656
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121175900
—
FL
Enumeration date
03/10/2017
Last updated
02/12/2026
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