Individual
MRS. KRISTI MICHAELA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
(321) 841-7856
(321) 843-6432
Mailing address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
(321) 841-7856
(321) 843-6432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9116658
FL
363AM0700X
Medical Physician Assistant
Primary
PA9116658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124078800
—
FL
Enumeration date
10/13/2022
Last updated
10/04/2024
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