Healthcare Provider Details

I. General information

NPI: 1447952247
Provider Name (Legal Business Name): ALONDRA MARIA MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6953 UNIVERSITY BLVD
WINTER PARK FL
32792-6710
US

IV. Provider business mailing address

7001 STOCKHOLM WAY
ORLANDO FL
32822-4640
US

V. Phone/Fax

Practice location:
  • Phone: 407-543-8356
  • Fax: 407-264-6443
Mailing address:
  • Phone: 407-683-5535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: