Individual
JORGE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2648 SW 87TH AVE, MIAMI, FL 33165-2031
(786) 828-7905
Mailing address
2648 SW 87TH AVE, MIAMI, FL 33165-2031
(786) 828-7905
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT63156
FL
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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