Individual
MATTHEW KRATISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
(352) 273-8612
Mailing address
245 ORANGE ST, SATELLITE BEACH, FL 32937
(305) 394-2989
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013633200
—
FL
Enumeration date
07/21/2014
Last updated
10/29/2019
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