Individual
MR. NOEL ANTONIO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2104 MASSEY AVE, JACKSONVILLE, FL 32228-0148
(904) 270-4474
Mailing address
2104 MASSEY AVE, JACKSONVILLE, FL 32228-0148
(904) 270-4474
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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