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Stephen Douglas Martin, AGC,MPAS,PA-C
Medical Physician Assistant in Tampa, Florida
NPI 1619916202

Stephen Douglas Martin is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Stephen Douglas Martin practices in Tampa, FL and has the professional credentials of AGC,MPAS,PA-C. The NPI Number for Stephen Douglas Martin is 1619916202 and holds a License No. PA 9101220 (Florida).

The current practice location address for Stephen Douglas Martin is 1401 N Himes Ave, Tampa, FL and can be reached out via phone at 813-393-3725.

Location: 1401 N Himes Ave, Tampa, FL, 33607
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Provider Profile Details
NPI Number
1619916202
Provider Name
Stephen Douglas Martin
Credential
AGC,MPAS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
1401 N Himes Ave, Tampa, FL, 33607
Phone Number
813-393-3725
Fax Number
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9101220 01 FL PA LICENSE NUMBER
U6812Z 01 FL SUPPLIER ID
institution
Provider Business Practice Location Address Details
Address
1401 N Himes Ave
City
State
Zip
33607
Phone Number
813-393-3725
Fax Number
person
Provider Business Mailing Address Details
Address
1401 N Himes Ave
City
State
Zip
33607
Phone Number
813-393-3725
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 9101220 (Florida)
Definition
Definition to come...
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