Individual
MARTEKEI PLANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 E BUSCH BLVD STE 104, TAMPA, FL 33612-8692
(813) 278-9308
(813) 433-5112
Mailing address
5474 WILLIAMS RD STE 2B, TAMPA, FL 33610-9167
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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