Female

Mrs. Kristi M. Martinez PA-C

Medical Physician Assistant in Saint Cloud, FL(View on Map)

Full Name

Mrs. Kristi Michaela Martinez PA-C

NPI Number

1942926746

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/13/2022

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9116658

Contact
Information

Purpose

Mailing
Location

Address

2906 17TH ST
2906 17TH ST

City

Saint Cloud
Saint Cloud

State

FL
FL

Postal Code

34769-6006
34769-6006

Country

US
US

Telephone Number

(321) 841-7856
(321) 841-7856

Identifiers

Identifier

124078800

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/04/2024

Provider Address

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