Individual
MR. MATTHEW J OBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7766
(352) 273-7849
Mailing address
7550 W UNIVERSITY AVE, STE B, GAINESVILLE, FL 32607-7608
(352) 273-7766
(352) 273-7849
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290875100
—
FL
Enumeration date
07/24/2006
Last updated
03/16/2016
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