Martin, Stephen Douglas

Martin, Stephen Douglas is an sole proprietor health care provider with primary practice located at 1401 N Himes Ave , Tampa FL 33607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Martin, Stephen Douglas can be contacted via phone (813) 393-3725.

Contact Information

Primary practice address
1401 N Himes Ave Tampa FL 33607

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9101220 Florida

Profile Details

NPI number 1619916202
LBN Legal business name Martin, Stephen Douglas
Credentials AGC, MPAS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jul 1st, 2010 - about 14 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.

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All States NPI 1619916202 NPPES
Florida Other 9101220 PA LICENSE NUMBER
Florida Other U6812Z PA LICENSE NUMBER

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