Elizabeth A. Mattesi PA
Surgical Physician Assistant in Melbourne, FL(View on Map)
Full Name
Elizabeth A Mattesi PA
NPI Number
1093765323
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/10/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA3294
Contact
Information
Purpose
Mailing
Location
Address
3300 S FISKE BLVD
1223 GATEWAY DR
City
Rockledge
Melbourne
State
FL
FL
Postal Code
32955-4306
32901
Country
US
US
Telephone Number
(321) 728-6002
(321) 728-6002
Identifiers
Identifier
019045900
E3398Y
P01165532
Identifier State
FL
FL
Unknown
Identifier Issuer
Unknown
MEDICARE
FL RR MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/09/2020