Individual
DR. CHRISTINA MARY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3515 E FLETCHER AVE, TAMPA, FL 33613-4706
(813) 974-2201
Mailing address
4866 POND RIDGE DR, RIVERVIEW, FL 33578-2105
(863) 838-2838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME122319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101087200
—
FL
01
—
LA574
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/20/2013
Last updated
03/31/2021
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