Individual
MR. MATTHEW ALEXANDER PHILP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP, BS,
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4450
Mailing address
16028 EAGLE RIVER WAY, TAMPA, FL 33624-6812
(305) 367-3582
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
149010
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149010
149010
—
Enumeration date
09/04/2021
Last updated
09/04/2021
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