Martinez, Ivan

Martinez, Ivan is an individual health care provider with primary practice located at 2108 N Ola Ave Unit 718 , Tampa FL 33602-2026. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Martinez, Ivan can be contacted via phone (813) 404-8922.

Contact Information

Primary practice address
2108 N Ola Ave Unit 718 Tampa FL 33602-2026
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 9381202 Florida

Profile Details

NPI number 1780208629
LBN Legal business name Martinez, Ivan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2020
Last updated Jun 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780208629 NPPES
Florida Other 9381202 STATE NURSING LICENSE

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