Individual
MS. ELLEN GRACE MARTINEZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5115 US HIGHWAY 27 N STE 100, SEBRING, FL 33870-1323
(863) 385-2222
(863) 382-8765
Mailing address
4432 MADERIA AVE, SEBRING, FL 33872-2126
(863) 873-5292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11033161
FL
Other
Enumeration date
06/04/2024
Last updated
05/15/2025
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