Individual
ISABELLA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7512 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884
(321) 337-6243
Mailing address
7512 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-3200
(321) 337-6243
(352) 717-6829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA19791
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109589800
—
FL
01
—
SA19791
STATE LICENSE
FL
Enumeration date
02/10/2021
Last updated
12/07/2023
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