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NPI Code Detail

MEDICARE: EFRAIN AUGUSTO MARTINEZ ALVERNIA M.D.

MEDICARE:   EFRAIN AUGUSTO MARTINEZ ALVERNIA  M.D.
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
12084N0400XNeurology PhysicianME158318FL

Other Identifiers

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

General Provider Information

NPI Number : 1588198881
Entity Type Code : Individual
Provider Name (Legal Business Name) : EFRAIN AUGUSTO MARTINEZ ALVERNIA M.D.
Provider Business Mailing Address
First Line : 1401 CENTERVILLE RD STE 300
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4675
Country : US
Telephone Number : 850-878-8121
Fax Number : 850-942-6515
Provider Business Practice Location Address
First Line : 1401 CENTERVILLE RD STE 600
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4661
Country : US
Telephone Number : 850-878-8121
Fax Number : 850-942-6515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2017
Last Update Date : 07/29/2022

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