Individual
JUAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1639 ATLANTIC BLVD STE 100, JACKSONVILLE, FL 32207-3346
(664) 003-3768
(904) 354-0376
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME101583
FL
207ND0101X
MOHS-Micrographic Surgery Physician
101583
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME101583
FL
Other
Enumeration date
02/07/2007
Last updated
12/07/2023
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