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Individual

DR. KATINA A MATTHEWS-FERRARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 639-6831
Mailing address
19022 MIDWAY BLVD, PORT CHARLOTTE, FL 33948-9648
(941) 639-8300
(941) 639-6831

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME52933
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043040401
FL
01
08319
BLUE CROSS
01
143636000
MAGELLAN
FL
01
1529693
UBH
FL
01
5551041
AETNA
FL
01
97564
MHNET
FL
01
N302999
STAYWELL
FL
Enumeration date
08/09/2006
Last updated
07/09/2007
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