Individual
DR. MRINALINI EMMA MATCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 66TH STREET NORTH, SUITE 302, ST. PETERSBURG, FL 33701
(727) 290-9899
(727) 290-9898
Mailing address
14134 NEPHRON LANE, HUDSON, FL 34667
(727) 863-5418
(727) 869-8626
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME102947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000644800
—
FL
Enumeration date
07/11/2006
Last updated
12/12/2011
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