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Individual
MATTHEW EARHART
Active
Individual
MATTHEW EARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108938
FL
363AS0400X
Surgical Physician Assistant
PA 9108938
FL
363AS0400X
Surgical Physician Assistant
PAT 9108938
FL
Other
Enumeration date
09/17/2015
Last updated
12/23/2022
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