Martinez, Clarisol M

Martinez, Clarisol M is an individual health care provider with primary practice located at 4343 W Newberry Rd Suite 13, Gainesville FL 32607-2817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Martinez, Clarisol M can be contacted via phone (352) 332-7770.

Contact Information

Primary practice address
4343 W Newberry Rd Suite 13 Gainesville FL 32607-2817
Phone: (352) 332-7770
Fax: (352) 224-2482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME86060 Florida

Profile Details

NPI number 1811988512
LBN Legal business name Martinez, Clarisol M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811988512 NPPES
Florida Other ME86060 MEDICAL LICENSE NUMBER
Florida MEDICAID 253282400 MEDICAL LICENSE NUMBER

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