Mrs. Mary Matelan PA-C
Physician Assistant in Saint Petersburg, FL(View on Map)
Full Name
Mrs. Mary Matelan PA-C
NPI Number
1902319841
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/14/2017
Specialties
(Taxonomies)Name
Code
363A00000X
208VP0014X
363AM0700X
363AS0400X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Florida
License Number
PA9110783
Contact
Information
Purpose
Mailing
Location
Address
7855 38TH AVE N
7855 38TH AVE N
City
Saint Petersburg
Saint Petersburg
State
FL
FL
Postal Code
33710-1152
33710-1152
Country
US
US
Telephone Number
(727) 341-2408
(727) 341-2408
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
mary@stpeteplasticsurgery.com
Endpoint Description
secure work email
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
7855 38th Ave NSaint Petersburg, FL337101152US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/19/2020
Provider Address
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