Angelisse Marie Martinez
Nurse Practitioner - Primary Care
11750 E Colonial Dr Ste 100
Orlando
, Florida 32817-4656
Angelisse Marie Martinez
Nurse Practitioner - Primary Care
11750 E Colonial Dr Ste 100
Orlando
, Florida 32817-4656
(787) 568-1506
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Angelisse Marie Martinez
- 14538 Broadhaven Blvd
- Orlando, FL
- Zip : 32828-7691
- Phone : (787) 568-1506
Second Address
- Angelisse Marie Martinez
- 11750 E Colonial Dr Ste 100
- Orlando, FL
- Zip : 32817-4656
- Phone : (844) 665-4827
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN11006283 | FL |
National Provider Identifier
| NPI | 1013417070 |
|---|---|
| Provider Name | Angelisse Marie Martinez |
| First Address | Orlando, FL 32828-7691 |
| Second Address | Orlando, FL 32817-4656 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2018 |
| Last Update Date | 16/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.