Individual
MARY MATYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 BAYOU BLVD STE 16C, PENSACOLA, FL 32503
(850) 477-7042
Mailing address
4400 BAYOU BLVD STE 16C, PENSACOLA, FL 32503-1907
(850) 477-7042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME131746
FL
Other
Enumeration date
12/31/2012
Last updated
08/21/2018
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