| Doctor Name: | DR. MIGUEL AGUSTIN MARTINEZ |
| NPI Number: | 1083603302 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME30099 |
| Business Practice Address: | 5182 Curry Ford Rd Orlando, FL - 328128792 |
| Business Phone Number: | 4078945054 |
| Business Fax Number: | 4078947818 |
| Mailing Address: | 8432 Lost Lake Dr, ORLANDO |
| State: | FL |
| Postal Code: | 328171574 |
| Phone Number: | 4076717858 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME30099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |