Individual
MR. MATTHEW T OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
1210 FREELAND RD, FREELAND, MD 21053-9563
(443) 500-1253
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
D0074888
MD
207ZC0500X
Cytopathology Physician
D0074888
MD
207ZP0101X
Anatomic Pathology Physician
D0074888
MD
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME132667
FL
Other
Enumeration date
06/16/2008
Last updated
03/17/2018
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