Individual
DYLAN THOMAS MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6628
(305) 899-3000
Mailing address
810 LAS CRUCES CT, LADY LAKE, FL 32159-5777
(772) 559-5372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9635263
FL
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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