Individual
DOROTHY LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7800 66TH ST N STE 101, JSA MEDICAL GROUP - PINELLAS PARK, PINELLAS PARK, FL 33781-2101
(727) 546-5702
(727) 546-5700
Mailing address
10051 5TH ST N, SUITE 200, JSA HEALTHCARE, SAINT PETERSBURG, FL 33702
(727) 824-0780
(727) 568-6011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP815952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305306700
—
FL
Enumeration date
12/30/2005
Last updated
02/26/2013
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