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Individual

DR. ELIAS N MATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 898-7451
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 898-7451

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA09039000
NJ
208000000X
Pediatrics Physician
ME122561
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
25MA09039000
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME122561
FL

Other

Enumeration date
05/15/2012
Last updated
02/03/2021
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