Individual
MEGAN MATASSINI ZIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
950 1ST ST S, WINTER HAVEN, FL 33880-3665
(863) 295-5604
(863) 295-5398
Mailing address
950 1ST ST S, WINTER HAVEN, FL 33880-3665
(813) 495-6473
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO3761
PODIATRY LICENSE
FL
Enumeration date
08/07/2013
Last updated
09/23/2021
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