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NPI Code Detail

MEDICARE: PEDRO MARTINEZ-CLARK MD PA

MEDICARE: PEDRO MARTINEZ-CLARK MD PA
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
1207RI0011XInterventional Cardiology PhysicianME97003FL

General Provider Information

NPI Number : 1346685245
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDRO MARTINEZ-CLARK MD PA
Provider Business Mailing Address
First Line : 5040 NW 7TH STREET
Second Line : SUITE 750
City : MIAMI
State : FL
Zip : 33126-3490
Country : US
Telephone Number : 305-587-1752
Fax Number : 786-504-9432
Provider Business Practice Location Address
First Line : 5040 NW 7TH STREET
Second Line : SUITE 750
City : MIAMI
State : FL
Zip : 33126-3490
Country : US
Telephone Number : 305-587-1752
Fax Number : 305-397-2986
Authorized Official
Title or Position : PRESIDENT
Name : PEDRO MARTINEZ-CLARK
Credential : MD
Telephone Number : 305-587-1752
Provider Enumeration Date : 05/06/2013
Last Update Date : 11/22/2015

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Directions to “PEDRO MARTINEZ-CLARK MD PA ” Practice Location

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