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NPI Code Detail

MEDICARE: MARTINEZ & LEWIS M.D.'S, P.A.

MEDICARE: MARTINEZ & LEWIS M.D.'S, P.A.
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
1207V00000XObstetrics & Gynecology PhysicianME0032863FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861505208
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTINEZ & LEWIS M.D.'S, P.A.
Provider Business Mailing Address
First Line : 4129 N ARMENIA AVE
Second Line : SUITE A
City : TAMPA
State : FL
Zip : 33607
Country : US
Telephone Number : 813-870-3342
Fax Number : 813-877-7689
Provider Business Practice Location Address
First Line : 4129 N ARMENIA AVE
Second Line : SUITE A
City : TAMPA
State : FL
Zip : 33607-6436
Country : US
Telephone Number : 813-870-3342
Fax Number : 813-877-7689
Authorized Official
Title or Position : OWNER PRESIDENT
Name : DR. LUCIANO AUGUSTINE MARTINEZ JR.
Credential : MD
Telephone Number : 813-870-3342
Provider Enumeration Date : 08/17/2006
Last Update Date : 09/14/2009

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Directions to “MARTINEZ & LEWIS M.D.'S, P.A. ” Practice Location

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