Individual
MAIDOLY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 205-2203
Mailing address
706 NW 87TH AVE APT 210, MIAMI, FL 33172-3413
(305) 205-2203
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11034565
FL
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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