Individual
ANNABELLE M MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1689 EAGLE HARBOR PKWY E, SUITE A, ORANGE PARK, FL 32003-4817
(904) 269-1366
(904) 264-9750
Mailing address
1689 EAGLE HARBOR PKWY E, SUITE A, ORANGE PARK, FL 32003-4817
(904) 269-1366
(904) 264-9750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME87828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267354100
—
FL
Enumeration date
12/06/2005
Last updated
10/02/2012
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