Organization
ALLIANCE COASTAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHAE MARTIN APRN (CHIEF EXECUTIVE OFFICER)
(813) 585-7708
Entity
Organization
Contact information
Practice address
110 LITHIA PINECREST RD STE B, BRANDON, FL 33511-5300
(813) 679-5122
Mailing address
110 LITHIA PINECREST RD STE B, BRANDON, FL 33511-5300
(813) 679-5122
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
08/27/2025
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