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Individual

DR. JOSE ANGEL MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7421 N UNIVERSITY DR STE 305, TAMARAC, FL 33321-6102
(954) 233-0913
(954) 391-5011
Mailing address
7421 N UNIVERSITY DR STE 305, TAMARAC, FL 33321-6102
(954) 233-0913
(954) 391-5011

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS 12458
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011955500
FL
Enumeration date
02/28/2009
Last updated
04/15/2023
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