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Organization
MATTHEW GEORGE ARNP-BC PA
Active
Organization
MATTHEW GEORGE ARNP-BC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW STEPHEN GEORGE ARNP-BC (PRESIDENT)
(904) 316-3105
Entity
Organization
Contact information
Practice address
12304 HOOD LANDING RD, JACKSONVILLE, FL 32258-2037
(904) 316-3105
Mailing address
12304 HOOD LANDING RD, JACKSONVILLE, FL 32258-2037
(904) 316-3105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ARNP 9213136
FL
314000000X
Skilled Nursing Facility
ARNP 9213136
FL
363L00000X
Nurse Practitioner
Primary
ARNP9213136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF389
MEDICARE PTAN
—
Enumeration date
06/22/2007
Last updated
04/09/2014
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