Provider Demographics
NPI:1801369640
Name:MARTINEZ, PATRICIA MARGARITA (BS SOCIAL WORK)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARGARITA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:BS SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1220 S DALE MABRY HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-5019
Mailing Address - Country:US
Mailing Address - Phone:813-258-8887
Mailing Address - Fax:813-925-4351
Practice Address - Street 1:1220 S DALE MABRY HWY STE 201
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-5019
Practice Address - Country:US
Practice Address - Phone:813-258-8887
Practice Address - Fax:813-925-4351
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No101Y00000XBehavioral Health & Social Service ProvidersCounselor