Enid B Martinez (NPI# 1992007280, PAC ID# 3072811181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1992007280 |
| PAC ID by PECOS | 3072811181 |
| Professional Enrollment ID | I20160405002568 |
| Full Name | Enid B Martinez |
| Organization Legal Name | FORT MYERS DERMATOPATHOLOGY PA |
| Address |
11821 Palm Beach Blvd Unit 123 Fort Myers FL 33905-5908 |
| Phone Number | 2396900060 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921055179 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 11821 Palm Beach Blvd, Unit 123, Fort Myers, FL 33905-5908 | 2396900060 | FORT MYERS DERMATOPATHOLOGY PA |
| 12580 University Dr, Suite 200, Fort Myers, FL 33907-5686 | 2392740005 | FORT MYERS DERMATOPATHOLOGY PA |
| Organization Legal Name | FORT MYERS DERMATOPATHOLOGY PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Snow | Dermatology | Fort Myers Dermatopathology Pa | 12580 University Dr, Suite 200, Fort Myers, FL 33907-5686 |
| Mazen S Daoud | Dermatology | Fort Myers Dermatopathology Pa | 11821 Palm Beach Blvd, Unit 123, Fort Myers, FL 33905-5908 |
| Street Address |
11821 PALM BEACH BLVD UNIT 123 |
| City | FORT MYERS |
| State | FL |
| Zip | 33905-5908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mazen S Daoud | Dermatology | Fort Myers Dermatopathology Pa | 11821 Palm Beach Blvd, Unit 123, Fort Myers, FL 33905-5908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita Nacken Gugel | Clinical Psychologist | 13314 Island Rd, Fort Myers, FL 33905-1805 | |
| Abel Natali-lopez | Family Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Carmen Maria Fernandez | Family Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Julie Anne Chapman | Nurse Practitioner | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Euclides Manelik Marmolejos Baez | Internal Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Jacqueline Bermudez | Chiropractic | 14042 Palm Beach Blvd, Fort Myers, FL 33905-2229 | |
| Eugene Usberghi | Family Medicine | 14651 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-2331 | |
| Diego D Sausa Jr. | Physical Therapy | 14630 Palm Beach Blvd, Suite 3, Fort Myers, FL 33905-2333 | |
| Rajan Kumar Sareen | Internal Medicine | 4801 Palm Beach Blvd, Fort Myers, FL 33905-3214 | |
| Aelle Jules Janvier | Nurse Practitioner | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 |
| Find all physicians in zip 33905 | |||
| City | FORT MYERS |
| Zip Code | 33905 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT MYERS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Enid B Martinez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.