MEDICARE: MR. WILHELM K. MARTEZIAN ARNP-C

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	363LA2200X	Adult Health Nurse Practitioner	ARNP9290514	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	:	1891905477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILHELM K. MARTEZIAN ARNP-C

Provider Business Mailing Address
First Line	:	1725 POINTE WEST WAY
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-2448
Country	:	US
Telephone Number	:	772-907-5935
Fax Number	:	772-408-9304

Provider Business Practice Location Address
First Line	:	1725 POINTE WEST WAY
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-2448
Country	:	US
Telephone Number	:	772-907-5935
Fax Number	:	772-408-9304

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	04/25/2025

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