Organization
EPIPHANY INTEGRATED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATELAND KEITH III MS, APRN, PMHNP-BC (BUSINESS OWNER)
(941) 367-2356
Entity
Organization
Contact information
Practice address
1990 MAIN ST STE 750, SARASOTA, FL 34236-8000
(941) 367-2356
Mailing address
1990 MAIN ST STE 750, SARASOTA, FL 34236-8000
(941) 367-2356
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
12/30/2024
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