Individual
MRS. DORIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE ANESTHETIS
Contact information
Practice address
431 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(813) 681-9507
Mailing address
431 LITHIA PINECREST RD., BRANDON, FL 33511-6138
(813) 681-9507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2671432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP2671432
STATE LICENSE
FL
Enumeration date
10/11/2006
Last updated
03/04/2010
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