Individual
KAREN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD BOX 100296 RM HD513, GAINESVILLE, FL 32610-0001
(352) 392-0627
Mailing address
1600 SW ARCHER RD BOX 100296 RM HD513, GAINESVILLE, FL 32610-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME123473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015052600
—
FL
Enumeration date
04/11/2012
Last updated
02/24/2017
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