Mr. Thomas M. Mattox PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Mr. Thomas Matthew Mattox PA-C
NPI Number
1003249004
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/13/2013
Specialties
(Taxonomies)Licenses
State
California
Florida
Florida
License Number
AC 15206
PA9113748
AP 3783
Contact
Information
Purpose
Mailing
Location
Address
10475 CENTURION PKWY N STE 201
15255 MAX LEGGETT PKWY STE 5500
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32256-5004
32218-7273
Country
US
US
Telephone Number
(904) 223-3321
(904) 223-3321
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/06/2020