| Alexandra Layne Martin, | |
| 2700 Healing Way Ste 100, Wesley Chapel, FL 33543-5453 | |
| (813) 929-5341 | |
| (813) 929-5393 | 
| Full Name | Alexandra Layne Martin | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 2700 Healing Way Ste 100, Wesley Chapel, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730575762 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 65143 (Tennessee) | Secondary | 
| 207V00000X | Obstetrics & Gynecology | ME142900 (Florida) | Primary | 
| Entity Name | Florida Hospital Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alexandra Layne Martin, 2132 Brandon Park Circle, Brandon, FL 33510-1622 Ph: (270) 559-8912 | Alexandra Layne Martin, 2700 Healing Way Ste 100, Wesley Chapel, FL 33543-5453 Ph: (813) 929-5341 | 
| Holly Ouillette,  Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2309 Crestover Ln, Wesley Chapel, FL 33544 Phone: 352-345-4456 Fax: 352-835-7740 | |
| Dr. Kristen M Witkowski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2391 Oak Myrtle Ln, Wesley Chapel, FL 33544 Phone: 813-803-2219 | |
| Heather Miller,  Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2895 Hueland Pond Blvd Ste 100, Wesley Chapel, FL 33543 Phone: 813-279-7107 Fax: 813-973-1090 | |
| Megan B Monroe,  Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2391 Oak Myrtle Ln, Wesley Chapel, FL 33544 Phone: 813-803-2219 | |
| Dr. Anthony Nosa Imudia, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2324 Cypress Cv, Wesley Chapel, FL 33544 Phone: 813-321-0146 | |
| Michael Gerard Jackson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2352 Bruce B Downs Blvd Ste 205, Wesley Chapel, FL 33544 Phone: 813-991-7416 Fax: 813-355-5097 | |
| Arpitha Vishnu Polagani, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7760 Curley Rd Ste 201, Wesley Chapel, FL 33545 Phone: 813-991-7416 Fax: 813-355-5097 |