Martinez, Pamela Mae
Martinez, Pamela Mae is an individual health care provider with primary practice located at 208 Crystal Grove Blvd , Lutz FL 33548-6460. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Martinez, Pamela Mae can be contacted via phone (813) 949-4991.Contact Information
Primary practice address
208 Crystal Grove Blvd
Lutz FL 33548-6460
Phone: (813) 949-4991
Fax: (813) 949-4936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME73683 | Florida |
Profile Details
| NPI number | 1871595132 |
|---|---|
| LBN Legal business name | Martinez, Pamela Mae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 1st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871595132 | NPPES |
| Florida | MEDICAID | 252882700 |
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