Individual
DMITRIY MATEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13170 ATLANTIC BLVD STE 47, JACKSONVILLE, FL 32225-4150
(904) 221-0024
Mailing address
210 11TH AVE N APT 202, JACKSONVILLE BEACH, FL 32250-7265
(904) 305-3062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56309
FL
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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