Individual
MATTHEW RYAN WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2415 N ORANGE AVE STE 502, ORLANDO, FL 32804-5503
(407) 303-2801
(407) 303-2805
Mailing address
2415 N ORANGE AVE STE 502, ORLANDO, FL 32804-5503
(407) 303-2801
(407) 303-2805
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9111739
FL
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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