Individual
MR. MARIO GENARO MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11302 FLORA SPRINGS DR, RIVERVIEW, FL 33579-2409
(813) 330-8886
Mailing address
11302 FLORA SPRINGS DR, RIVERVIEW, FL 33579-2409
(813) 330-8886
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
M63540820472
FL
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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