Provider Demographics
NPI:1306571435
Name:INVICTUS MEDICAL SERVICES AND ASSOCIATES
Entity type:Organization
Organization Name:INVICTUS MEDICAL SERVICES AND ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANETT
Authorized Official - Middle Name:
Authorized Official - Last Name:JALIL MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-960-5909
Mailing Address - Street 1:4400 W SAMPLE RD STE 140
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3458
Mailing Address - Country:US
Mailing Address - Phone:954-842-6434
Mailing Address - Fax:954-827-0595
Practice Address - Street 1:4400 W SAMPLE RD STE 140
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3458
Practice Address - Country:US
Practice Address - Phone:954-842-6434
Practice Address - Fax:954-827-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty