DR. DEBORAH ANN MARTINEZ M.D. NPI 1154524379

NPI Information

NPI: 1154524379
Provider Name: DR. DEBORAH ANN MARTINEZ, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: CENTERWELL SENIOR PRIMARY CARE FL INC.

PECOS Registration: Yes

Address:
3185 W VINE ST
KISSIMMEE, FL
ZIP 34741
Phone: (407) 569-1260
Get Directions

DR. Deborah Ann Martinez, M.D. is a general practice in Kissimmee, FL with 38 years of experience. DR. Deborah Ann Martinez, M.D. NPI is 1154524379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3185 W VINE ST
KISSIMMEE, FL
ZIP 34741-738
Phone: (407) 569-1260
Fax: (833) 963-0109

The NPI 1154524379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 11/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		ACN625	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017772900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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