Individual
MATTHEW ALEXANDER MATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
ORLANDO REGIONAL MEDICAL CENTER, 52 W UNDERWOOD ST, ORLANDO, FL 38206
(321) 841-5111
Mailing address
285 UPTOWN BLVD APT 655, ALTAMONTE SPRINGS, FL 32701-4009
(386) 216-9685
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
9423147
FL
363L00000X
Nurse Practitioner
11032799
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
149264
FL
Other
Enumeration date
08/10/2022
Last updated
05/28/2024
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