Diana, Robert Martin

Diana, Robert Martin is an individual health care provider with primary practice located at 270 S Moon Ave , Brandon FL 33511-5711. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Diana, Robert Martin can be contacted via phone (813) 571-9988.

Contact Information

Primary practice address
270 S Moon Ave Brandon FL 33511-5711
Phone: (813) 571-9988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10034 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3668 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA09406 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9109572 Florida

Profile Details

NPI number 1053348490
LBN Legal business name Diana, Robert Martin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Sep 20th, 2016 - about 9 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 1053348490 NPPES
Minnesota Other HP58138 HEALTHPARTNERS
Minnesota Other 135523 HEALTHPARTNERS
Minnesota Other Z118762 HEALTHPARTNERS
Minnesota Other 01-22334 HEALTHPARTNERS
Minnesota Other 2407141 HEALTHPARTNERS
Minnesota Other 695T1DI HEALTHPARTNERS
Minnesota Other 1045684 HEALTHPARTNERS
Minnesota Other 01-06807 HEALTHPARTNERS
Minnesota MEDICAID 4307120 HEALTHPARTNERS
Minnesota Other P00455556 HEALTHPARTNERS
Minnesota MEDICAID 278121 HEALTHPARTNERS
Minnesota MEDICAID 487448000 HEALTHPARTNERS

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