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Individual

JOSE ISRAEL MARTINEZ-SALAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
635 1ST ST N, WINTER HAVEN, FL 33881-4129
(863) 294-0670
(863) 298-3200
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME58697
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME58697
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290007484
MEDICARE ID/ RRM PIN
FL
05
378400200
FL
Enumeration date
03/16/2006
Last updated
06/12/2024
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