Martin, Diana Patricia

Martin, Diana Patricia is an sole proprietor health care provider with primary practice located at 4503 N Armenia Ave , Tampa FL 33603-2745. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Martin, Diana Patricia can be contacted via phone (813) 873-1177.

Contact Information

Primary practice address
4503 N Armenia Ave Tampa FL 33603-2745
Phone: (813) 873-1177
Fax: (813) 873-1166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X ME88573 Florida
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME88573 Florida

Profile Details

NPI number 1780688432
LBN Legal business name Martin, Diana Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated Oct 30th, 2023 - about last year

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 1780688432 NPPES
Florida MEDICAID 268116101
Florida MEDICAID 268116100

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