Individual
DR. HERMAN RICARDO MATALLANA
Active
Individual
DR. HERMAN RICARDO MATALLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
OS7773
FL
207YX0602X
Otolaryngic Allergy Physician
OS7773
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264722200
—
FL
Enumeration date
01/26/2007
Last updated
07/26/2016
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