Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deshae Martin, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1861945719

Deshae Martin, NURSEPRACTITIONER is an Acute Care Nurse Practitioner in Brandon, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2016
Specialties on file
3

Practice location Address checks out

110 Lithia Pinecrest Rd Ste B
Brandon, FL 33511-5300
Phone: (813) 679-5122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2105 Roanoke Springs Dr, Ruskin, FL 33570-6312 — (813) 585-7708

Specialties & licences

Community Health Nurse Practitioner (primary) Taxonomy 363LC1500X · Licence 9303768 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 9303768 (FL)
Clinical & Laboratory Immunology (Internal Medicine) Physician Taxonomy 207RI0001X · Licence 9303768 (FL)

Record details

NPI number1861945719
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJuly 27, 2016
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021

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