Individual
MR. MATTHEW L MAROLD
Active
Individual
MR. MATTHEW L MAROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN2941622
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN2941622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269581201
—
FL
01
—
Y050JT
FL MEDICARE
FL
01
—
Y050JU
HFPSI MEDICARE
FL
Enumeration date
11/18/2005
Last updated
03/20/2024
Update your record
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