Martine Extermann
Medical Oncology
12902 Usf Magnolia Dr
Tampa
, Florida 33612-9416
Martine Extermann
Medical Oncology
12902 Usf Magnolia Dr
Tampa
, Florida 33612-9416
(813) 745-4673
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Martine Extermann
- Po Box 198441
- Atlanta, GA
- Zip : 30384-8441
- Phone : (813) 745-4673
Second Address
- Martine Extermann
- 12902 Usf Magnolia Dr
- Tampa, FL
- Zip : 33612-9416
- Fax : (813) 745-1908
- Phone : (813) 745-6790
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | ME108695 | FL |
National Provider Identifier
| NPI | 1154353589 |
|---|---|
| Provider Name | Martine Extermann |
| First Address | Atlanta, GA 30384-8441 |
| Second Address | Tampa, FL 33612-9416 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 26/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 251945300 | (05) | FL |
| 38064 | BLUE CROSS BLUE SHIELD (01) | 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.