Individual
CARMEN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 BEACH BLVD, JACKSONVILLE, FL 32216-2813
(904) 493-6967
(904) 425-7259
Mailing address
14358 SANDY HOOK RD, JACKSONVILLE, FL 32224-2827
(904) 285-1660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045329300
—
FL
Enumeration date
11/08/2007
Last updated
06/01/2011
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