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Organization

EMANUEL MARTINEZ MD AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMANUEL MARTINEZ M.D. (OWNER/PRESIDENT)
(904) 278-4999
Entity
Organization

Contact information

Practice address
1555 KINGSLEY AVE, SUITE 101, ORANGE PARK, FL 32073-4560
(904) 278-4999
(904) 278-8891
Mailing address
PO BOX 457, ORANGE PARK, FL 32067-0457
(904) 278-4999
(904) 278-8891

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME68758
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101369137
MARK DEARING LCSW NPI
FL
01
1033234653
SANDRA DARBY-CURRIE LMHC NPI
FL
01
1871598870
FRANK MORELLI LMHC NPI
FL
01
27411D
MEDICARE
FL
01
78953Z
MEDICARE
FL
01
K8704
MEDICARE
FL
01
Z106M
BCBS
FL
Enumeration date
07/25/2008
Last updated
07/25/2008
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