Individual provider Active NPI

Eliezer Martell

  • Chiropractor
  • Wildwood, FL
National Provider Identifier
1073342564
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15110 Issued in FL
Practice address
3990 E Sr 44 Ste 301
Wildwood, FL 34785-7482
Phone
(407) 889-3223
Fax
(407) 889-7263
NPI assigned
Jul 31, 2024
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15110 FL Primary

Addresses

Primary practice location

3990 E Sr 44 Ste 301
Wildwood, FL 34785-7482

Mailing address

3990 E Sr 44 Ste 301
Wildwood, FL 34785-7482
Phone (407) 889-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15110FLMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1073342564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 E SR 44 STE 301",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857482",
            "telephone_number": "407-889-3223",
            "fax_number": "407-889-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 E SR 44 STE 301",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857482",
            "telephone_number": "407-889-3223",
            "fax_number": "407-889-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "ELIEZER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.