Tammy P Martinez, PA-C
Physician Assistant in Jacksonville, Florida
1619944154- Practice location
- 9130 R G Skinner Parkway, Jacksonville, FL 32256
- Phone
- 045-538-0950
- Fax
- 904-538-0952
- Last updated
- September 28, 2023
Tammy Pruitt Martinez is a Physician Assistant based in Jacksonville, FL. Tammy Pruitt Martinez practices in Jacksonville, FL and has the professional credentials of PA-C. The NPI Number for Tammy Pruitt Martinez is 1619944154 and holds a License No. PA00359 (RI). The current practice location address for Tammy Pruitt Martinez is 9130 R G Skinner Parkway, Jacksonville, FL 32256 and can be reached out via phone at 045-538-0950 and via fax at 904-538-0952.
Provider Profile Details
- NPI Number
- 1619944154
- Provider Name
- Tammy Pruitt Martinez
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9130 R G Skinner Parkway, Jacksonville, FL 32256
- Phone Number
- 045-538-0950
- Fax Number
- 904-538-0952
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 3, 2006
- Last Update Date
- September 28, 2023
- Certification Date
- September 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9130 R G Skinner Parkway
Jacksonville, FL 32256 - City
- Jacksonville
- State
- Florida
- Zip
- 32256
- Phone Number
- 045-538-0950
- Fax Number
- 904-538-0952
Provider Business Mailing Address Details
- Address
- 9130 R G Skinner Parkway
Jacksonville, FL 32256 - City
- Jacksonville
- State
- FL
- Zip
- 32256
- Phone Number
- 045-538-0950
- Fax Number
- 904-538-0952
License Information
- License Number (1)
- PA00359
- License State (1)
- RI
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA9110936
- License State (2)
- FL
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Jacksonville, FL
View all Physician Assistants in Jacksonville →Frequently Asked Questions
What is the NPI number of Tammy P Martinez, PA-C?
The NPI number of Tammy P Martinez, PA-C is 1619944154. It was assigned on March 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Tammy P Martinez, PA-C?
Tammy P Martinez, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00359.
Where does Tammy P Martinez, PA-C practice?
The practice location is 9130 R G Skinner Parkway, Jacksonville, FL 32256. The office can be reached at 045-538-0950 (phone) or 904-538-0952 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619944154 directly on the NPPES registry website.