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NPI Code Detail

MEDICARE: PABLO MARTINEZ DMD

MEDICARE: PABLO MARTINEZ DMD
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
11223S0112XOral and Maxillofacial Surgery (Dentist)DN17964FL

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 : 1922141829
Entity Type Code : Individual
Provider Name (Legal Business Name) : PABLO MARTINEZ DMD
Provider Business Mailing Address
First Line : 2045 LEE RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1836
Country : US
Telephone Number : 407-629-4444
Fax Number :
Provider Business Practice Location Address
First Line : 2045 LEE RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1836
Country : US
Telephone Number : 407-629-4444
Fax Number : 407-629-9078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 07/21/2022

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Directions to “ PABLO MARTINEZ DMD” Practice Location

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