Individual
AMBER REBEKAH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2605 W SWANN AVE, SUITE 600, TAMPA, FL 33609-4039
(813) 876-7073
(813) 877-1277
Mailing address
2841 LORAN DR E, JACKSONVILLE, FL 32216-5519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103989
FL
Other
Enumeration date
02/08/2007
Last updated
08/21/2007
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