MARTEN BASTA M.D.
Individual Provider (NPI-1)
Active
Plastic Surgery
Provider Information
- NPI Number
1194103648- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 12902 USF MAGNOLIA DR, TAMPA, FL, 336129416
- Phone
- (888) 663-3488
Specialties & Taxonomies
Plastic Surgery
License: RI #LP03411
Plastic Surgery
Primary License: FL #ME157378
All Addresses
MAILING
PO BOX 198441
ATLANTA, GA, 303848441