Martinez, Maryanne

Martinez, Maryanne is an individual health care provider with primary practice located at 7000 Sw 62Nd Ave Ste 525 , South Miami FL 33143-4721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Martinez, Maryanne can be contacted via phone (305) 665-8188.

Contact Information

Primary practice address
7000 Sw 62Nd Ave Ste 525 South Miami FL 33143-4721
Fax: (305) 668-7706
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9102097 Florida

Profile Details

NPI number 1295843704
LBN Legal business name Martinez, Maryanne
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Apr 6th, 2011 - about 14 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 1295843704 NPPES
Florida MEDICAID 291824200
Florida Other 1044212

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