Individual
MS. ELIZABETH ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1835 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 519-0575
(863) 582-9251
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP1097382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766092800
—
FL
Enumeration date
07/24/2006
Last updated
04/02/2024
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