MEDICARE: RAMON MARTINEZ 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	2084P0800X	Psychiatry Physician	ME53410	FL

General Provider Information

NPI Number	:	1457376964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMON MARTINEZ MD

Provider Business Mailing Address
First Line	:	1417 N SEMORAN BLVD
Second Line	:	SUITE 203
City	:	ORLANDO
State	:	FL
Zip	:	32807-3555
Country	:	US
Telephone Number	:	407-206-1106
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 N SEMORAN BLVD
Second Line	:	SUITE 203
City	:	ORLANDO
State	:	FL
Zip	:	32807-3555
Country	:	US
Telephone Number	:	407-206-1106
Fax Number	:

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

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