Dr Suzanne L Martinez, MD | |
2021 Professional Center Dr Ste 100, Orange Park, FL 32073-4461 | |
(904) 777-2667 | |
(904) 777-2069 |
Full Name | Dr Suzanne L Martinez |
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Gender | Female |
Speciality | Internal Medicine |
Location | 2021 Professional Center Dr Ste 100, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295759652 | NPI | - | NPPES |
065875901 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME49388 (Florida) | Secondary |
207R00000X | Internal Medicine | ME49388 (Florida) | Primary |
Entity Name | Memorial Family Practice Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077 |
Mailing Address | Practice Location Address |
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Dr Suzanne L Martinez, MD 2021 Professional Center Dr Ste 100, Orange Park, FL 32073-4461 Ph: (904) 777-2667 | Dr Suzanne L Martinez, MD 2021 Professional Center Dr Ste 100, Orange Park, FL 32073-4461 Ph: (904) 777-2667 |
Payal Paresh Patel Shooliz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 102, Orange Park, FL 32073 Phone: 904-215-2510 Fax: 904-215-1515 | |
Mark Anthony Stawara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748 | |
Eugene H Mccoskey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave Ste 404, Orange Park, FL 32073 Phone: 904-441-1111 Fax: 904-441-1111 | |
Dr. Nadeem Maalouli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-213-0600 Fax: 904-213-0303 | |
Omer Ismaeel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2140 Kingsley Ave Ste 1, Orange Park, FL 32073 Phone: 904-368-6809 | |
Shradha Pokharel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922 | |
Charles Edward Phillips, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2035 Professional Ctr Dr, Ste C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748 |