Individual
VAHE MATNISHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3515 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
(772) 283-3800
Mailing address
3515 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
(772) 283-3800
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO4608
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4608
FL
213ES0131X
Foot Surgery Podiatrist
PO4608
FL
Other
Enumeration date
05/25/2020
Last updated
09/24/2024
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