Individual
MS. ENID B MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12580 UNIVERSITY DR, SUITE 200, FORT MYERS, FL 33907-5686
(239) 274-0005
(239) 278-4718
Mailing address
12580 UNIVERSITY DR, SUITE 200, FORT MYERS, FL 33907-5686
(239) 274-0005
(239) 278-4718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105627
FL
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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