Stephen Douglas Martin in Tampa - Medical
Stephen Douglas Martin - NPI 1619916202
Stephen Douglas Martin is a Medical in Tampa, Florida. Stephen Douglas Martin practices all healthcare services and medical treatments related to Medical. The NPI Number for Stephen Douglas Martin is 1619916202. The last update date is 2010-07-01.
Stephen Douglas Martin's current location address is 1401 N Himes Ave, Tampa, Florida. You can contact this provider via phone number 8133933725. The mailing address for Stephen Douglas Martin is 1401 N Himes Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Douglas Martin |
|---|---|
| Address | 1401 N Himes Ave, Tampa, Florida |
| Phone Number | 8133933725 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | AGC, MPAS, |
NPI Number Detail
| NPI Number | 1619916202 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2010-07-01 |
Provider Mailing Address Detail
| Address | 1401 N Himes Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 33607 |
| Phone Number | 8133933725 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA 9101220 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9101220 | FL | PA LICENSE NUMBER | |
| U6812Z | FL | SUPPLIER ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephen Douglas Martin by the Centers for Medicare & Medicaid Services?
The Stephen Douglas Martin has been assigned the NPI (National Provider Identifier) 1619916202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Stephen Douglas Martin's facilities are situated?
The facilities of Stephen Douglas Martin are physically located at the following address: 1401 N Himes Ave, Tampa, FL, 33607.
What is Stephen Douglas Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen Douglas Martin is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619916202 to Stephen Douglas Martin?
The Centers for Medicare & Medicaid Services originally issued the 1619916202 to Stephen Douglas Martin on 2006-06-06.
When was the information pertaining to Stephen Douglas Martin most recently updated or revised?
The details related to Stephen Douglas Martin, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-01.