Martin, Erica Anne

Martin, Erica Anne is an individual health care provider with primary practice located at 625 6Th Ave S Ste 450 , Saint Petersburg FL 33701-4629. She 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 her primary health care specialty. Martin, Erica Anne can be contacted via phone (727) 898-2663.

Contact Information

Primary practice address
625 6Th Ave S Ste 450 Saint Petersburg FL 33701-4629
Phone: (727) 898-2663
Fax: (727) 568-6836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9110977 Florida

Profile Details

NPI number 1649786781
LBN Legal business name Martin, Erica Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2017
Last updated May 30th, 2023 - about 2 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 1649786781 NPPES
Florida Other 0X6B5 FLORIDA BLUE
Florida MEDICAID 100782600 FLORIDA BLUE

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