Martin, Diana Patricia
Martin, Diana Patricia is an sole proprietor health care provider with primary practice located at 4503 N Armenia Ave , Tampa FL 33603-2745. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Martin, Diana Patricia can be contacted via phone (813) 873-1177.Contact Information
Primary practice address
4503 N Armenia Ave
Tampa FL 33603-2745
Phone: (813) 873-1177
Fax: (813) 873-1166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | ME88573 | Florida |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ME88573 | Florida |
Profile Details
| NPI number | 1780688432 |
|---|---|
| LBN Legal business name | Martin, Diana Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Oct 30th, 2023 - about 2 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 | 1780688432 | NPPES |
| Florida | MEDICAID | 268116101 | |
| Florida | MEDICAID | 268116100 |
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