Individual
VICENTE MANUEL MARTINEZ CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP-BC, ARNP
Contact information
Practice address
1002 11TH ST SW, LIVE OAK, FL 32064-3606
(386) 364-8050
(386) 364-7068
Mailing address
789 W DUVAL ST, LAKE CITY, FL 32055-3811
(386) 755-1546
(386) 755-2283
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9247766
FL
Other
Enumeration date
10/19/2009
Last updated
02/15/2021
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