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Individual

DR. KELLY LYN MARTINKUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2020 HIGHWAY A1A, INDIAN HARBOUR BEACH, FL 32937-3340
(321) 345-0199
(321) 616-7656
Mailing address
500 N BREVARD AVE UNIT 320504, COCOA BEACH, FL 32932-7022
(321) 345-0199
(321) 616-7656

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18779
PR
208D00000X
General Practice Physician
Primary
ACN824
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018007500
FL
Enumeration date
06/19/2014
Last updated
05/22/2026
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