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Individual

DR. MATTHEW S BARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 202-8332
(904) 390-3429
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
330061
NY
207L00000X
Anesthesiology Physician
E-17119
AR
207L00000X
Anesthesiology Physician
ME0060752
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
E-17119
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58849100
FL
Enumeration date
08/22/2006
Last updated
05/07/2025
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