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NPI Code Detail

MEDICARE: DR. CAROLINE MICHELE MARTINEZ PHARMD

MEDICARE: DR. CAROLINE MICHELE MARTINEZ PHARMD
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
1183500000XPharmacistPS34315FL

General Provider Information

NPI Number : 1124017835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINE MICHELE MARTINEZ PHARMD
Provider Business Mailing Address
First Line : 608 HUDSON RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-1531
Country : US
Telephone Number : 561-659-3583
Fax Number :
Provider Business Practice Location Address
First Line : 4601 N CONGRESS AVE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-3228
Country : US
Telephone Number : 561-881-1539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 07/08/2007

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