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

Mrs. Stephanie Joy Fiesta Martin, PA-C

Individual provider Physician Assistant · NPI 1861812018

Mrs. Stephanie Joy Fiesta Martin, PA-C is a Physician Assistant in Lithia, Florida. Qualified in 2014, 12 years ago. Practices with Tampa General Medical Group Inc, a 352-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13421 Fishhawk Blvd
Lithia, FL 33547-3833
Phone: (813) 844-8600
Fax: (813) 844-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3250 Zemke Ave, Tampa, FL 33621-5023 — (813) 827-9260
  • 3250 Zemke Ave, Tampa, FL 33621-5023 — (813) 827-9260

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110403 (FL)

Record details

NPI number1861812018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 25, 2014
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tampa General Medical Group Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lithia