Individual
DR. EMANUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 W TOWN PL, SUITE 3, ST AUGUSTINE, FL 32092-3104
(904) 940-2200
(904) 940-2201
Mailing address
315 W TOWN PL, SUITE 3, ST AUGUSTINE, FL 32092-3104
(904) 940-2200
(904) 940-2201
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
68758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27411
BCBS OF FLORIDA PROVIDER
FL
Enumeration date
06/08/2005
Last updated
12/17/2013
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