Provider Demographics
NPI:1043305949
Name:MARTINEZ, ARMANDO ONEL I (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:ONEL
Last Name:MARTINEZ
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1395 N COURTENAY PKWY
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-4400
Mailing Address - Country:US
Mailing Address - Phone:321-459-1333
Mailing Address - Fax:321-453-0189
Practice Address - Street 1:1395 N COURTENAY PKWY
Practice Address - Street 2:SUITE # 200
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4400
Practice Address - Country:US
Practice Address - Phone:321-459-1333
Practice Address - Fax:321-453-0189
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0025175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL056031600Medicaid
FL056031600Medicaid
FLD84862Medicare UPIN