Martin, Dorothy Lynn

Martin, Dorothy Lynn is an individual health care provider with primary practice located at 7800 66Th St N Ste 101 Jsa Medical Group - Pinellas Park, Pinellas Park FL 33781-2101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Dorothy Lynn can be contacted via phone (727) 546-5702.

Contact Information

Primary practice address
7800 66Th St N Ste 101 Jsa Medical Group - Pinellas Park Pinellas Park FL 33781-2101
Phone: (727) 546-5702
Fax: (727) 546-5700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP815952 Florida

Profile Details

NPI number 1982681888
LBN Legal business name Martin, Dorothy Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Feb 26th, 2013 - about 11 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 1982681888 NPPES
Florida MEDICAID 305306700

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