Provider Demographics
NPI:1992352710
Name:MARTINEZ, GABRIEL B (APRN)
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:B
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:APRN
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Mailing Address - Street 1:425 W COLONIAL DR STE 303
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6863
Mailing Address - Country:US
Mailing Address - Phone:321-332-6947
Mailing Address - Fax:407-286-4515
Practice Address - Street 1:1502 VILLAGE OAK LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-6558
Practice Address - Country:US
Practice Address - Phone:407-520-3588
Practice Address - Fax:407-978-6757
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2025-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN1003864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110072100Medicaid