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NPI Code Detail

MEDICARE: DR. LUIS A MARTINEZ-FRONTANILLA M.D.

MEDICARE:  DR. LUIS A MARTINEZ-FRONTANILLA  M.D.
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
12086S0120XPediatric Surgery PhysicianME69254FL

Other Identifiers

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

General Provider Information

NPI Number : 1346242609
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS A MARTINEZ-FRONTANILLA M.D.
Provider Business Mailing Address
First Line : PO BOX 10744
Second Line :
City : CLEARWATER
State : FL
Zip : 33757-8744
Country : US
Telephone Number : 727-532-0002
Fax Number : 727-266-4928
Provider Business Practice Location Address
First Line : 3001 W DR MARTIN LUTHER KING JR BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33607-6307
Country : US
Telephone Number : 813-554-8384
Fax Number : 813-443-8160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/16/2015

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Directions to “ DR. LUIS A MARTINEZ-FRONTANILLA M.D.” Practice Location

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