Diana, Robert Martin
Diana, Robert Martin is an individual health care provider with primary practice located at 270 S Moon Ave , Brandon FL 33511-5711. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Diana, Robert Martin can be contacted via phone (813) 571-9988.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10034 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3668 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | Texas | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA09406 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9109572 | Florida |
Profile Details
| NPI number | 1053348490 |
|---|---|
| LBN Legal business name | Diana, Robert Martin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Sep 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053348490 | NPPES |
| Minnesota | Other | HP58138 | HEALTHPARTNERS |
| Minnesota | Other | 135523 | HEALTHPARTNERS |
| Minnesota | Other | Z118762 | HEALTHPARTNERS |
| Minnesota | Other | 01-22334 | HEALTHPARTNERS |
| Minnesota | Other | 2407141 | HEALTHPARTNERS |
| Minnesota | Other | 695T1DI | HEALTHPARTNERS |
| Minnesota | Other | 1045684 | HEALTHPARTNERS |
| Minnesota | Other | 01-06807 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 4307120 | HEALTHPARTNERS |
| Minnesota | Other | P00455556 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 278121 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 487448000 | HEALTHPARTNERS |
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