Search › Florida › 363LC1500X
Deshae Martin, NURSE PRACTITIONER
NPI 1861945719 · on the registry since 2016 · sole proprietor
Practice
- Address
- 110 Lithia Pinecrest Rd Ste B
Brandon, FL 33511 - Phone
- (813) 679-5122
- Organisation at this address
- Covenant Lab Services
Forever Young Diagnostics
Alliance Coastal Transit Llc
Bay Area Direct Client Care Llc
Bay Area Direct Client Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 2105 Roanoke Springs Dr, Ruskin, FL
Registry record
- Primary taxonomy
- 363LC1500X
363LC1500X
- Also registered as
- 363LA2100X
207RI0001X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida