Extermann, Martine

Extermann, Martine is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Extermann, Martine can be contacted via phone (813) 745-6790.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Tampa FL 33612-9416
Phone: (813) 745-6790
Fax: (813) 745-1908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME108695 Florida

Profile Details

NPI number 1154353589
LBN Legal business name Extermann, Martine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 26th, 2014 - about 10 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 1154353589 NPPES
Florida Other 38064 BLUE CROSS BLUE SHIELD
Florida MEDICAID 251945300 BLUE CROSS BLUE SHIELD

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