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1619916202
STEPHEN DOUGLAS MARTIN
TAMPA, FL
NPI
1619916202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: FL PA 9101220)
Enumeration Date
2006-06-06
Last Update Date
2010-07-01
Business Address
STEPHEN DOUGLAS MARTIN AGC, MPAS, PA-C
1401 N HIMES AVE
TAMPA, FL 33607
Phone number: 813-393-3725
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Mailing Address
STEPHEN DOUGLAS MARTIN AGC, MPAS, PA-C
1401 N HIMES AVE
TAMPA, FL 33607
Phone number: 813-393-3725
Copy
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