Individual
MATTHEW PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3221 STONEMAN LOOP, LAND O LAKES, FL 34638-4396
(845) 797-6037
Mailing address
3221 STONEMAN LOOP, LAND O LAKES, FL 34638-4396
(845) 797-6037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9451049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9451049
RN LICENSE
FL
Enumeration date
03/02/2021
Last updated
03/02/2021
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