MEDICARE: MR. JAVIER MARTINEZ LCSW

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	1041C0700X	Clinical Social Worker	SW23667	FL

General Provider Information

NPI Number	:	1215369798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAVIER MARTINEZ LCSW

Provider Business Mailing Address
First Line	:	3040 MOUNTAIN SPRUCE TER
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-4129
Country	:	US
Telephone Number	:	718-664-7480
Fax Number	:

Provider Business Practice Location Address
First Line	:	5825 ARGERIAN DR STE 101
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4140
Country	:	US
Telephone Number	:	239-690-6906
Fax Number	:

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

Provider Enumeration Date	:	08/06/2013
Last Update Date	:	10/18/2024

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