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Individual
DR. MATTHEW CORN
Active
Individual
DR. MATTHEW CORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21464
FL
2251G0304X
Geriatric Physical Therapist
PT21464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00226835
RAILROAD MEDICARE
FL
01
—
Y915K
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/19/2006
Last updated
06/14/2016
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