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Deshae Martin, NURSEPRACTITIONER
Community Health Nurse Practitioner in Brandon, Florida
NPI 1861945719

Deshae Martin is a Community Health Nurse Practitioner based in Ruskin, FL and is specialized in Community Health. Deshae Martin practices in Brandon, FL and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Deshae Martin is 1861945719 and holds a License No. 9303768 (Florida).

The current practice location address for Deshae Martin is 110 Lithia Pinecrest Rd Ste B, Brandon, FL and can be reached out via phone at 813-679-5122. You can also correspond with Deshae Martin through the mailing address at 2105 ROANOKE SPRINGS DR, RUSKIN, FL - 33570-6312 (mailing address contact number: 813-585-7708).

Location: 110 Lithia Pinecrest Rd Ste B, Brandon, FL, 33570-6312
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Provider Profile Details
NPI Number
1861945719
Provider Name
Deshae Martin
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
110 Lithia Pinecrest Rd Ste B, Brandon, FL, 33570-6312
Phone Number
813-679-5122
Fax Number
Provider Enumeration Date
07/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019436600 05 FL
institution
Provider Business Practice Location Address Details
Address
110 Lithia Pinecrest Rd Ste B
City
State
Zip
33511-5300
Phone Number
813-679-5122
Fax Number
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Provider Business Mailing Address Details
Address
2105 Roanoke Springs Dr
City
State
Zip
33570-6312
Phone Number
813-585-7708
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical & Laboratory Immunology
Taxonomy
License No.
9303768 (Florida)
Definition
An internal medicine physician who specializes in clinical and laboratory immunology disease management.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
9303768 (Florida)
Definition
Definition to come...
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Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
9303768 (Florida)
Definition
Definition to come...
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