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1073219820
EDISON ALEXANDER MARTINEZ
KISSIMMEE, FL
NPI
1073219820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11024253)
Enumeration Date
2023-02-03
Last Update Date
2024-08-16
Business Address
EDISON ALEXANDER MARTINEZ APRN
920 N JOHN YOUNG PKWY
KISSIMMEE, FL 34741-4914
Phone number: 407-956-1920
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Mailing Address
EDISON ALEXANDER MARTINEZ APRN
6900 TAVISTOCK LAKES BLVD STE 300
ORLANDO, FL 32827-7592
Phone number: 321-332-6947
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