Healthcare Provider Details

I. General information

NPI: 1346104460
Provider Name (Legal Business Name): MARGARET MARTINEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BUBBA WATSON DR
PENSACOLA FL
32504
US

IV. Provider business mailing address

535 KENSLEY AVE
FAIRHOPE AL
36532-7147
US

V. Phone/Fax

Practice location:
  • Phone: 850-416-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number1-134436
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: