Individual
MATTHEW GREGORY IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PMHNP-BC
Contact information
Practice address
2015 NE 3RD TER, WILTON MANORS, FL 33305-2041
(954) 400-9289
Mailing address
2015 NE 3RD TER, WILTON MANORS, FL 33305-2041
(954) 400-9289
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11039327
FL
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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