Martin, Elizabeth Ann

Martin, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 1835 Gilmore Ave , Lakeland FL 33805-3017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Martin, Elizabeth Ann can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1835 Gilmore Ave Lakeland FL 33805-3017
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1097382 Florida

Profile Details

NPI number 1295757490
LBN Legal business name Martin, Elizabeth Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Apr 2nd, 2024 - about 8 months 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 1295757490 NPPES
Florida MEDICAID 766092800

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