Individual
DR. MARTIN ZENNI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP CARDIOLOGY DEPT, JACKSONVILLE, FL 32209
(904) 244-3378
(904) 244-3102
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME68936
FL
207RC0000X
Cardiovascular Disease Physician
ME68936
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME68936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000671668A
—
GA
01
—
060033260
RAILROAD MEDICARE
FL
05
—
3784169-00
—
FL
Enumeration date
03/02/2006
Last updated
06/12/2018
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