Male or Other

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)

Code

363A00000X
171100000X

Primary Taxonomy

Yes
No

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

Provider Address

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