Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenny Robert Diaz Martinez, FNP-C

Individual provider Family Nurse Practitioner · NPI 1336939701

Kenny Robert Diaz Martinez, FNP-C is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with St Vincent's Full Service Urgent Care, LLC, a 27-clinician group. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

858 Monument Rd Ste A
Jacksonville, FL 32225-6670
Phone: (904) 450-8060
Fax: (904) 450-6969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11039295 (FL)

Record details

NPI number1336939701
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 8, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Vincent'S Full Service Urgent Care, Llc — 27 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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