Individual
MATTHEW KEITH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5151014502
MI
207P00000X
Emergency Medicine Physician
Primary
OS20188
FL
Other
Enumeration date
03/21/2019
Last updated
08/08/2023
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