MEDICARE: JUSTIN MARTINEZ DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH14083	FL

General Provider Information

NPI Number	:	1033831482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN MARTINEZ DC

Provider Business Mailing Address
First Line	:	7508 SWINDON RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-5028
Country	:	US
Telephone Number	:	813-956-0312
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 E LAKE RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2427
Country	:	US
Telephone Number	:	727-276-8229
Fax Number	:	727-754-1546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	09/13/2022

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Directions to “ JUSTIN MARTINEZ DC” Practice Location

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