Individual
AMILYS GARCIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 S SEMORAN BLVD STE E, ORLANDO, FL 32807-1459
(407) 384-9165
Mailing address
1441 ANNA CATHERINE DR, ORLANDO, FL 32828-7407
(407) 969-1964
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
ME90674
FL
363L00000X
Nurse Practitioner
Primary
11004867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G625000785070
DRIVERS LICENSE
FL
Enumeration date
10/09/2019
Last updated
04/05/2022
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