Individual
PETER J MATTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 39TH ST W, BRADENTON, FL 34205-2456
(941) 747-4664
(941) 747-3067
Mailing address
800 39TH ST W, BRADENTON, FL 34205-2456
(941) 747-4664
(941) 747-3067
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME15265
FL
Other
Enumeration date
08/12/2006
Last updated
02/15/2008
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