Individual
ALEXANDER SERGEEVICH MATVEEVSKII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME 80600
FL
207LP3000X
Pediatric Anesthesiology Physician
35.096597
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME 80600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261776500
—
FL
Enumeration date
07/18/2006
Last updated
08/31/2012
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