Individual
DR. KRISTINA R POTTER-MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 E DEBAZAN AVE, ST PETE BEACH, FL 33706-4065
(813) 244-1179
(586) 349-6022
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16150
CA
207P00000X
Emergency Medicine Physician
34.010629
OH
207P00000X
Emergency Medicine Physician
5101018039
MI
207P00000X
Emergency Medicine Physician
OS12423
FL
Other
Enumeration date
11/13/2008
Last updated
01/20/2022
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