Individual
RAFAEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10967 PEPPERTREE LN, PORT RICHEY, FL 34668-2420
(727) 565-7326
Mailing address
10967 PEPPERTREE LN, PORT RICHEY, FL 34668-2420
(727) 565-7326
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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