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NPI Code Detail

MEDICARE: DR. MARIA FERNANDA MARTINEZ OD

MEDICARE:  DR. MARIA FERNANDA MARTINEZ  OD
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
1152W00000XOptometristOPC6576FL

General Provider Information

NPI Number : 1609609080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA FERNANDA MARTINEZ OD
Provider Business Mailing Address
First Line : 2324 REDWOOD RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6154
Country : US
Telephone Number : 561-513-7088
Fax Number :
Provider Business Practice Location Address
First Line : 5057 S CONGRESS AVE STE 403
Second Line :
City : LAKE WORTH BEACH
State : FL
Zip : 33461-4723
Country : US
Telephone Number : 787-765-1915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2024
Last Update Date : 10/03/2024

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Directions to “ DR. MARIA FERNANDA MARTINEZ OD” Practice Location

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