Bunton, Martisia

Bunton, Martisia is an sole proprietor health care provider with primary practice located at 3707 E Hanna Ave , Tampa FL 33610-3756. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Bunton, Martisia can be contacted via phone (813) 858-5732.

Contact Information

Primary practice address
3707 E Hanna Ave Tampa FL 33610-3756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1881106276
LBN Legal business name Bunton, Martisia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2017
Last updated Oct 25th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881106276 NPPES
Florida MEDICAID 689419

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