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General NPI Number Information
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NPI Number | 1285890558
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Entity Type | Organization
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Legal Business Name | ARMANDO O MARTINEZ MD PA
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 1395 N COURTENAY PKWY SUITE # 200
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4400
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Country | US
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Telephone | 321-459-1333
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Fax | 321-453-0189
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Provider Business Mailing Address
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Address Line | 1395 N COURTENAY PKWY SUITE 200
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4400
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Country | US
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Telephone | 321-459-1333
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Fax | 321-453-0189
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ARMANDO ONEL MARTINEZ I
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Credential | M.D.
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Telephone | 321-459-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0025175
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License Number State | FL
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