Individual
MR. DANIEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4127
(321) 452-2663
Mailing address
3378 MEADOWRIDGE DR, MELBOURNE, FL 32901-8744
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN 1587592
FL
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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