Individual
EMILY MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
1439 OWEN DR, CLEARWATER, FL 33759-2202
(727) 831-0230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9408811
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11010625
FL
Other
Enumeration date
11/04/2020
Last updated
12/30/2020
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