Doctor Name: | STEPHANIE MARIE MARTINEZ-MORALEZ |
NPI Number: | 1487902318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 206 Park Place Blvd Kissimmee, FL - 347412344 |
Business Phone Number: | 4078460023 |
Business Fax Number: | |
Mailing Address: | 1854 Destiny Blvd, Apt. 301 KISSIMMEE |
State: | FL |
Postal Code: | 347416838 |
Phone Number: | 4076246556 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2012 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |