Provider Demographics
NPI:1194709865
Name:MARTINEZ HEALTH INC.
Entity type:Organization
Organization Name:MARTINEZ HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:FICARA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-248-2553
Mailing Address - Street 1:930 N KROME AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4418
Mailing Address - Country:US
Mailing Address - Phone:305-248-2553
Mailing Address - Fax:
Practice Address - Street 1:930 N KROME AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4418
Practice Address - Country:US
Practice Address - Phone:305-248-2553
Practice Address - Fax:305-248-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty