Organization
JACK M MATHENY II, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SATISH V RAVI MD (DIRECTOR)
(386) 328-6746
Entity
Organization
Contact information
Practice address
800 ZEAGLER DR STE 400, PALATKA, FL 32177-3827
(386) 328-6746
(386) 328-7554
Mailing address
PO BOX 330196, ATLANTIC BEACH, FL 32233-0196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
06/18/2025
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