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NPI Code Detail

MEDICARE: MARY MARTINEZ

MEDICARE: MARY 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
1103K00000XBehavior Analyst
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1619415254
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MARTINEZ
Provider Business Mailing Address
First Line : 400 N TAMPA ST STE 1550
Second Line :
City : TAMPA
State : FL
Zip : 33602-4737
Country : US
Telephone Number : 484-408-4272
Fax Number :
Provider Business Practice Location Address
First Line : 400 N TAMPA ST STE 1550
Second Line :
City : TAMPA
State : FL
Zip : 33602-4737
Country : US
Telephone Number : 484-408-4272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2017
Last Update Date : 04/30/2026

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Directions to “ MARY MARTINEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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