Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 9227981 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 9227981 | FL |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 9227981 | FL |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 9227981 | FL |
N | 363LW0102X | Nurse Practitioner - Women's Health | 9227981 | FL |
NPI | 1295115400 |
---|---|
Provider Name | Mr. Jose Georbel Martinez |
First Address | Coral Springs, FL 33071-5416 |
Second Address | Hialeah, FL 33016-1801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2015 |
Last Update Date | 07/08/2016 |