Individual
STEPHANIE MICHELLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NW 90TH WAY, PEMBROKE PINES, FL 33024-4624
(305) 502-1653
Mailing address
1515 NW 90TH WAY, PEMBROKE PINES, FL 33024-4624
(305) 502-1653
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-481
FL
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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