Individual
TOD ALAN MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
2600 WESTHALL LN, 4TH FLOOR, MAITLAND, FL 32751-7102
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301094361
MI
2085R0202X
Diagnostic Radiology Physician
Primary
ME126187
FL
Other
Enumeration date
06/29/2009
Last updated
08/15/2016
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