Individual
SAMANTHA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12950 RACE TRACK RD STE 106, TAMPA, FL 33626-1304
(813) 616-8810
Mailing address
1120 E TWIGGS ST UNIT F385, TAMPA, FL 33602-3165
(443) 615-6661
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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