Doctor Name: | JULIE CALDWELL MARTINEZ |
NPI Number: | 1255758389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9287881 |
Business Practice Address: | 2100 Via Bella Blvd Suite 101 Land O Lakes, FL - 346395429 |
Business Phone Number: | 8137125718 |
Business Fax Number: | 8133555029 |
Mailing Address: | 38135 Market Sq, ZEPHYRHILLS |
State: | FL |
Postal Code: | 335427505 |
Phone Number: | 8135284975 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2014 |
NPI Last Update Date: | 10/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9287881 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |