Individual
JONATHAN THEODORE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
9010 ARABIAN DR APT 311, FORT MYERS, FL 33912-1511
(816) 861-4700
Mailing address
9010 ARABIAN DR APT 311, FORT MYERS, FL 33912-1511
(505) 315-1390
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
Primary
86377849
FL
Other
Enumeration date
10/16/2023
Last updated
01/12/2026
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