Individual
CLARISOL M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4343 W NEWBERRY RD, SUITE 13, GAINESVILLE, FL 32607-2817
(352) 332-7770
(352) 224-2482
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 373-6338
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME86060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253282400
—
FL
01
—
ME86060
MEDICAL LICENSE NUMBER
FL
Enumeration date
11/02/2005
Last updated
03/15/2012
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