Individual
DR. DARREL THOMAS MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,F.A.C.O.
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH5141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050782200
—
FL
01
—
350023404
RAILROAD MEDICARE
FL
Enumeration date
07/12/2005
Last updated
04/04/2008
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