Individual
MRS. MEGAN KATHLEEN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5775 BLUE LAGOON DR STE 190, MIAMI, FL 33126-2000
(305) 442-0028
Mailing address
5775 BLUE LAGOON DR STE 190, MIAMI, FL 33126-2000
(305) 442-0028
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106507
FL
Other
Enumeration date
05/17/2012
Last updated
10/17/2017
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