Martin, Elizabeth Ann
Martin, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 1835 Gilmore Ave , Lakeland FL 33805-3017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Martin, Elizabeth Ann can be contacted via phone (863) 519-0575.Contact Information
Primary practice address
1835 Gilmore Ave
Lakeland FL 33805-3017
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP1097382 | Florida |
Profile Details
| NPI number | 1295757490 |
|---|---|
| LBN Legal business name | Martin, Elizabeth Ann |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Apr 2nd, 2024 - 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 | 1295757490 | NPPES |
| Florida | MEDICAID | 766092800 |
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