Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME 118705 | FL |
NPI | 1205151750 |
---|---|
Provider Name | Dr. Alexander John Martinez |
First Address | Cape Coral, FL 33904-5788 |
Second Address | Naples, FL 34110-3343 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2010 |
Last Update Date | 28/07/2016 |