EDUARDO M MARTINEZ, MD, PA
Radiology at Miami Ave, Miami, FL

License number
Florida ME0068215
Category
Radiology
Type
Vascular Surgery
Owner
Name: EDUARDO MILTON MARTINEZ MD
Title: OWNER
Phone: (305) 510-3007
Address
Address
3659 S Miami Ave SUITE 4006, Miami, FL 33133
National Provider ID: 1063840510
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDUARDO M MARTINEZ, MD, PA

Miami, FL

Status:
Inactive
Doing business as:
Eduardo M Martinez MD FACS
Inactive reason:
REINSTATEMENT
Registration:
May 17, 2010
Inactive since:
Nov 16, 2012
Phone:
(786) 483-8438 (Phone)
Addresses:
3659 S Miami Ave SUITE 4006, Miami, FL 33133 (Physical)
4302 Alton Rd, Miami, FL 33140
3661 S Miami Ave, Miami, FL 33133
State ID:
P10000042649
Business type:
Florida Profit Corporation
Director:
Eduardo M Martinez (Director), 3659 S Miami Ave, Miami, FL 33133 (Physical)
Agent:
Eduardo Martinez,3659 S Miami Ave SUITE 4006, Miami, FL 33133 (Physical)
EIN:
80-0570282

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