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Individual

MATTHEW J NOONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAAA

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1473
(352) 273-8610
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
135.0000036
VT
367H00000X
Anesthesiologist Assistant
3913
GA
367H00000X
Anesthesiologist Assistant
Primary
AA498
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103736800
FL
05
598163770B
GA
Enumeration date
07/06/2006
Last updated
09/26/2025
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