MEDICARE: LARITZA J REYES MARTI APRN, FNP- BC

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	363LF0000X	Family Nurse Practitioner	F07220141	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336860857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARITZA J REYES MARTI APRN, FNP- BC

Provider Business Mailing Address
First Line	:	2977 GOODLETTE-FRANK RD N STE 1
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34103-4613
Country	:	US
Telephone Number	:	239-331-4999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2977 GOODLETTE-FRANK RD N STE 1
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34103-4613
Country	:	US
Telephone Number	:	239-961-7543
Fax Number	:

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

Provider Enumeration Date	:	09/05/2022
Last Update Date	:	01/27/2025

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