Individual
MARTINE EXTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-6790
(813) 745-1908
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME108695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251945300
—
FL
01
—
38064
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/07/2006
Last updated
08/26/2014
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