Deshae Martin
Nurse Practitioner - Acute Care Nurse Practitioner - Community Health
110 Lithia Pinecrest Rd Ste B
Brandon
, Florida 33511-5300
Deshae Martin
Nurse Practitioner - Acute Care Nurse Practitioner - Community Health
110 Lithia Pinecrest Rd Ste B
Brandon
, Florida 33511-5300
(813) 585-7708
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Deshae Martin
- 2105 Roanoke Springs Dr
- Ruskin, FL
- Zip : 33570-6312
- Phone : (813) 585-7708
Second Address
- Deshae Martin
- 110 Lithia Pinecrest Rd Ste B
- Brandon, FL
- Zip : 33511-5300
- Phone : (813) 679-5122
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner - Acute Care | 9303768 | FL |
| Y | 363LC1500X | Nurse Practitioner - Community Health | 9303768 | FL |
National Provider Identifier
| NPI | 1861945719 |
|---|---|
| Provider Name | Deshae Martin |
| First Address | Ruskin, FL 33570-6312 |
| Second Address | Brandon, FL 33511-5300 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2016 |
| Last Update Date | 16/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 019436600 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.