Individual
MARK DONALD MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN, PHLEBOTOMIST
Contact information
Practice address
2442 HOMESTEAD CIR, NORTH PORT, FL 34286-3268
(941) 479-8416
Mailing address
2442 HOMESTEAD CIR, NORTH PORT, FL 34286-3268
(941) 479-8416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5237061
FL
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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