Provider Demographics
NPI:1255758389
Name:MARTINEZ, JULIE CALDWELL (PMHNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:CALDWELL
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27524 CASHFORD CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6947
Mailing Address - Country:US
Mailing Address - Phone:813-515-0383
Mailing Address - Fax:813-906-7789
Practice Address - Street 1:7900 E UNION AVE STE 1100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2746
Practice Address - Country:US
Practice Address - Phone:303-414-1164
Practice Address - Fax:813-906-7789
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9287881363LF0000X, 363LP0808X
COC-APN.0003518-C-CNS363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY0NJ1OtherBCBS
FL013387400Medicaid
FLAPRN9287881OtherFL LICENSE
FLY0NJ1OtherBCBS