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General NPI Number Information
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NPI Number | 1932871076
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Entity Type | Individual
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Provider Name | ELISA MARTINEZ GARCIA APRN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 6150 MEDICAL PARK LOOP
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City | FORT MYERS
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State | FL
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Zip | 33912-4537
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Country | US
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Telephone | 239-722-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 WOODSTEAD CT STE 208
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1480
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Country | US
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Telephone | 877-749-7428
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Fax |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN9251486
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | APRN11015743
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11015743
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License Number State | FL
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