MEDICARE: DORALYS ORAMAS MARTINEZ

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	106S00000X	Behavior Technician	25-431428	FL

General Provider Information

NPI Number	:	1306635131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORALYS ORAMAS MARTINEZ

Provider Business Mailing Address
First Line	:	6110 JEFFERSON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-1372
Country	:	US
Telephone Number	:	754-280-7804
Fax Number	:

Provider Business Practice Location Address
First Line	:	6110 JEFFERSON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-1372
Country	:	US
Telephone Number	:	754-280-7804
Fax Number	:

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

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	05/06/2025

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Directions to “ DORALYS ORAMAS MARTINEZ ” Practice Location

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