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General NPI Number Information
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NPI Number | 1689860421
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Entity Type | Individual
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Provider Name | AXEL E. MARTINEZ IRIZARRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 3610 E FORT KING ST
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City | OCALA
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State | FL
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Zip | 34470-1319
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Country | US
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Telephone | 352-421-5681
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Fax | 844-927-4812
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Provider Business Mailing Address
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Address Line | 3610 E FORT KING ST
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City | OCALA
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State | FL
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Zip | 34470-1319
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Country | US
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Telephone | 352-421-5681
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Fax | 844-927-4812
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ME127807
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17055
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ME127807
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N5844
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 17055
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | N5844
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | ME127807
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | N5844
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 17055
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License Number State | PR
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