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Individual

STEPHANIE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-4850
Mailing address
11921 NW 31ST PL, SUNRISE, FL 33323-1211
(646) 267-9315

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
9441018
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
9441018
FL

Other

Enumeration date
09/30/2019
Last updated
12/30/2021
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