Individual
EMILY A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
1942 HIGHLAND OAKS BLVD, SUITE A, LUTZ, FL 33559-7410
(813) 948-3838
(813) 949-0629
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102143
LICENSE #
FL
Enumeration date
05/03/2007
Last updated
03/22/2017
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