Individual
DR. MATTHEW BRYCE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5728 MAJOR BLVD, SUITE 528, ORLANDO, FL 32819-7945
(407) 352-2542
(407) 352-2547
Mailing address
5728 MAJOR BLVD, SUITE 528, ORLANDO, FL 32819-7945
(407) 352-2542
(407) 352-2547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS9450
FL
208M00000X
Hospitalist Physician
Primary
OS9450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003812700
—
FL
Enumeration date
06/16/2005
Last updated
01/30/2015
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