Martinez, Suzanne L

Martinez, Suzanne L is an individual health care provider with primary practice located at 2021 Professional Center Dr Ste 100 , Orange Park FL 32073-4461. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Martinez, Suzanne L can be contacted via phone (904) 777-2667.

Contact Information

Primary practice address
2021 Professional Center Dr Ste 100 Orange Park FL 32073-4461
Phone: (904) 777-2667
Fax: (904) 777-2069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME49388 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME49388 Florida

Profile Details

NPI number 1295759652
LBN Legal business name Martinez, Suzanne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 21st, 2022 - about 2 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 1295759652 NPPES
Florida MEDICAID 065875901

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