Individual provider · Type 1 NPI
Stephen Douglas Martin, AGC, MPAS, PA-C
Medical Physician Assistant · Tampa, FL
NPI number
1619916202
Active
Practice location
1401 N Himes Ave
Tampa, FL 33607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 9101220 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1619916202
Stephen Douglas Martin, AGC, MPAS, PA-C's National Provider Identifier is 1619916202, issued on Jun 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tampa, FL. The record was last updated on Jul 1, 2010.