MRS. Stephanie Joy Fiesta Martin, PA-C

NPI #1861812018 in Lithia, Florida

Provider Information

NPI Number: 1861812018
Entity Type: Individual
Name: MRS. Stephanie Joy Fiesta Martin, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 25, 2014
Last Updated: Jun 9, 2021

Practice Location

Address: 13421 FISHHAWK BLVD
City: Lithia
State: Florida
ZIP Code: 33547-3833
Phone: (813) 844-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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