MEDICARE: AMY ZACCARIA MARTINO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME109554	FL
2	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	ME109554	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073702031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ZACCARIA MARTINO MD

Provider Business Mailing Address
First Line	:	7515 STATE ROAD 52 STE 104
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-6757
Country	:	US
Telephone Number	:	727-300-0299
Fax Number	:	727-249-0969

Provider Business Practice Location Address
First Line	:	4178 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6429
Country	:	US
Telephone Number	:	727-300-0299
Fax Number	:	727-249-0969

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	01/27/2026

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