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Individual

ASHLEY LYNDEN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3515 E FLETCHER AVE, TAMPA, FL 33613
(813) 974-8900
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA10585400
NJ
2084P0800X
Psychiatry Physician
MD32768
SC
2084P0800X
Psychiatry Physician
MD447141
PA
2084P0800X
Psychiatry Physician
Primary
ME151336
FL
2084P0800X
Psychiatry Physician
MT202267
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0Y149
BCBS
FL
05
111078000
FL
Enumeration date
06/16/2010
Last updated
10/20/2021
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