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Organization
JACK M. MATHENY II, MD
Active
Organization
JACK M. MATHENY II, MD
Active
Parent organization
JACK M MATHENY II MD
Other names
JACK M. MATHENY II, MD, RHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACK M MATHENY II MD
Authorized official
SATISH RAVI MD (AUTHORIZED OFFICIAL)
(386) 328-6746
Entity
Organization
Contact information
Practice address
700 ZEAGLER DR STE 10, PALATKA, FL 32177-3826
(386) 328-6746
(386) 328-7554
Mailing address
700 ZEAGLER DR STE 10, PALATKA, FL 32177-3826
(386) 328-6746
(386) 328-7554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/02/2007
Last updated
09/02/2025
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