Provider Demographics
NPI:1285747774
Name:MARTINEZ, FRANCES COLEMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:COLEMAN
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:FRANCES
Other - Middle Name:LUCILLE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:801 2ND STREET NORTH
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695
Mailing Address - Country:US
Mailing Address - Phone:727-725-8820
Mailing Address - Fax:727-725-8361
Practice Address - Street 1:801 2ND STREET NORTH
Practice Address - Street 2:SUITE 7
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695
Practice Address - Country:US
Practice Address - Phone:727-725-8820
Practice Address - Fax:727-725-8361
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7084103T00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5030Medicare ID - Type UnspecifiedMEDICARE
FLU5030AMedicare UPIN