Individual
DR. ALAN RYAN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5375 N SOCRUM LOOP RD, LAKELAND, FL 33809-4272
(863) 859-6353
Mailing address
1530 VILLAGE CENTER DR, UNIT #301, LAKELAND, FL 33803-2853
(863) 397-5696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS50590
FL
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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