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Individual

DR. MATTHEW C RILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 396-5682
(904) 346-0864
Mailing address
820 PRUDENTIAL DR STE 713, JACKSONVILLE, FL 32207-8209
(904) 396-5682
(904) 346-0864

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME82969
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
79007
BCBS
FL
Enumeration date
07/17/2006
Last updated
03/11/2008
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