Healthcare Provider Details

I. General information

NPI: 1487575825
Provider Name (Legal Business Name): FRANSIEL PADRON MARTINEZ PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4785 ORANGE GROVE BLVD APT 5
NORTH FORT MYERS FL
33903-4520
US

IV. Provider business mailing address

4785 ORANGE GROVE BLVD APT 5
NORTH FORT MYERS FL
33903-4520
US

V. Phone/Fax

Practice location:
  • Phone: 407-361-8514
  • Fax:
Mailing address:
  • Phone: 407-361-8514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number003128-P.A.
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: