Individual
MATTHEW ALLEN MAGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 66TH ST N, ST PETERSBURG, FL 33710-5504
(727) 343-3019
Mailing address
11400 N JOG RD, PALM BEACH GARDENS, FL 33418-1756
(561) 453-3233
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5384
FL
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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