Organization
LUCIEN MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUBER MATOS-GARSAULT MD (PRESIDENT)
(904) 322-8047
Entity
Organization
Contact information
Practice address
1001 ATLANTIC AVE, SUITE D, FERNANDINA BEACH, FL 32034-3650
(904) 322-8047
(866) 552-5911
Mailing address
1001 ATLANTIC AVE, SUITE D, FERNANDINA BEACH, FL 32034-3650
(904) 322-8047
(866) 552-5911
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME89412
FL
Other
Enumeration date
03/28/2007
Last updated
04/25/2008
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