Individual
DIANA PATRICIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4503 N ARMENIA AVE, TAMPA, FL 33603-2745
(813) 873-1177
(813) 873-1166
Mailing address
4503 N ARMENIA AVE, TAMPA, FL 33603-2745
(813) 873-1177
(813) 873-1166
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME88573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268116100
—
FL
05
—
268116101
—
FL
Enumeration date
06/10/2005
Last updated
03/26/2025
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