Individual
CHRISTAN R MARTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106016
FL
363AM0700X
Medical Physician Assistant
PA9106016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101248200
—
FL
01
—
Y08P9
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/24/2010
Last updated
02/08/2019
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