Individual
DR. RALPH ANGELO DEMATTEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2191 9TH AVE N, SUITE 110, ST PETERSBURG, FL 33713-7146
(727) 322-1600
Mailing address
1900 72ND AVE NE, ST PETERSBURG, FL 33702-4716
(727) 527-8354
(727) 525-3867
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME21255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054100100
—
FL
Enumeration date
03/17/2006
Last updated
12/09/2008
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