EMANUEL MARTINEZ, MD AND ASSOCIATES, PA
Physician Assistant at Kingsley Ave, Orange Park, FL

License number
Florida MH8366
Category
Mental Health
Type
Mental Health
License number
Florida SW953
Category
Social Work
Type
Clinical
License number
Florida ME68758
Category
Psychiatric
Type
Psychiatry
License number
Florida ARNP9181473
Category
Nursing
Type
Family
License number
Florida ARNP9222756
Category
Nursing
Type
Psychiatric/Mental Health
License number
Florida ARNP9181473
Category
Nursing
Type
Psychiatric/Mental Health
License number
Florida ARNP9208000
Category
Physician Assistant
Type
Psychiatric/Mental Health
Owner
Name: DR. EMANUEL MARTINEZ MD
Title: OWNER PRESIDENT
Phone: (904) 940-2200
Address
Address 2
1555 Kingsley Ave SUITE 101, Orange Park, FL 32073
315 W Town Pl SUITE 3, Saint Augustine, FL 32092
National Provider ID: 1124248992
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EMANUEL MARTINEZ, M.D. AND ASSOCIATES, PA

Orange Park, FL  -  Saint Augustine, FL

Status:
Inactive
Doing business as:
Emanuel Martinez
Inactive reason:
Cancel Adm Diss/rev
Registration:
Dec 28, 2001
Inactive since:
Oct 17, 2005
Phone:
(904) 940-2200 (Phone)
Addresses:
1555 Kingsley Ave SUITE 101, Orange Park, FL 32073 (Physical)
315 W Town Pl SUITE 3, Saint Augustine, FL 32092 (Mailing)
PO Box 457, Orange Park, FL 32067
State ID:
P01000121780
Business type:
Florida Profit Corporation
Director:
Emanuel Martinez (Director), 1555 Kingsley Ave SUITE 101, Orange Park, FL 32073 (Physical)
Agent:
Martinez, Emanuel,1555 Kingsley Ave SUITE 101, Orange Park, FL 32073 (Physical)
EIN:
010566823
Categories:
Nurse Practitioners
Products:
Counseling, Family Counseling, Psychiatry & Counseling Services
Payment options:
American Express, MasterCard, VISA
Additional:
Psychiatry & Counseling Services

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