Individual
ANTONIO MANUEL MARTINEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 E 58TH ST, HIALEAH, FL 33013-1244
(305) 326-3288
Mailing address
152 E 58TH ST, HIALEAH, FL 33013-1244
(305) 326-3288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9417810
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9417810
FL
Other
Enumeration date
07/09/2018
Last updated
04/28/2020
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