Individual
BRAD S MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3695 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33436-4516
(561) 364-5522
Mailing address
3695 W BOYNTON BEACH BLVD, SUITE 4, BOYNTON BEACH, FL 33436-4516
(561) 364-5522
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1994
FL
Other
Enumeration date
11/15/2005
Last updated
01/06/2010
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