Individual
DR. MATTHEW STEPHEN MCKILLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR STE 1700, JACKSONVILLE, FL 32207-8344
(904) 398-0125
(904) 398-1832
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME96218
FL
207RC0000X
Cardiovascular Disease Physician
ME96218
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
61263
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME96218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003547000
—
FL
Enumeration date
10/10/2006
Last updated
11/13/2025
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