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NPI Code Detail

MEDICARE: DR. AUTUMN MARTINEZ

MEDICARE: DR. AUTUMN 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
1207R00000XInternal Medicine Physician45962FL

General Provider Information

NPI Number : 1891620621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUTUMN MARTINEZ
Provider Business Mailing Address
First Line : 7744 TORTUGA BAY BLVD
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-6570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6600 MADISON ST
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-1971
Country : US
Telephone Number : 727-842-8468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ DR. AUTUMN MARTINEZ ” Practice Location

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