Individual
MR. MARC ANDREW MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
228 W ALEXANDER ST, PLANT CITY, FL 33563-7157
(813) 754-5480
(877) 285-9902
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(813) 876-4997
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102918
FL
Other
Enumeration date
11/01/2006
Last updated
03/25/2026
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