Individual
DIANA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1951 SW 172ND AVE STE 415, MIRAMAR, FL 33029
(954) 265-2423
(954) 538-5533
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 975-7074
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME0061767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37456600
—
FL
Enumeration date
10/31/2006
Last updated
03/17/2021
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