Organization
SUNCOAST UR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE M MARTINEZ M.D. (PRESIDENT)
(813) 875-0122
Entity
Organization
Contact information
Practice address
4144 N ARMENIA AVE, SUITE 301, TAMPA, FL 33607-6400
(813) 875-0122
(813) 875-0208
Mailing address
4144 N ARMENIA AVE, SUITE 301, TAMPA, FL 33607-6400
(813) 875-0122
(813) 875-0208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME53533
FL
Other
Enumeration date
08/04/2006
Last updated
08/01/2007
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