Tracy L Martin M.D.

NPI 1982620803 - Pediatrics - 208000000X

NPI Details
NPI 1982620803
Gender Female
Enumeration Date 07/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5454 LITHIA PINECREST RD
LITHIA FL, 33547-2853, US
Phone (813) 571-6800
Fax (813) 855-3765
Business Location
PO BOX 25437
TAMPA FL, 33622-5437, US
Phone (813) 854-2003
Fax (813) 855-3765
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number ME 75315
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According to our database, Tracy L Martin M.D. NPI is 1982620803, taxonomy code is 208000000X and license number is ME 75315, license state is located at Florida. Tracy L Martin M.D. physically located at 5454 Lithia Pinecrest Rd, Lithia FL, 33547-2853. NPI Number Tracy L Martin M.D. has the Individual type.

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1982620803 NPI number is provided on an as is basis without warranty of any kind. 1982620803 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy L Martin M.D. are for informational purposes only.