Individual
MARTINA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
90 CALLE ENSUENO, MARATHON, FL 33050-2503
(305) 743-6073
Mailing address
90 CALLE ENSUENO, MARATHON, FL 33050-2503
(305) 743-6073
(305) 743-6073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS8535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71247
BLUECROSS BLUESHIELD
FL
01
—
P00019417
RAILROAD
—
Enumeration date
05/24/2005
Last updated
11/07/2007
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