Organization
RALPH A. DEMATTEIS MD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH A DEMATTEIS MD (PRESIDENT)
(727) 527-8354
Entity
Organization
Contact information
Practice address
2191 9TH AVE N, SUITE 240, ST PETERSBURG, FL 33713-7146
(727) 322-1600
Mailing address
1900 72ND AVE NE, ST PETERSBURG, FL 33702-4716
(727) 527-8354
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0021255
FL
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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