Penn L Mattox PA-C

  • NPI 1104805001
According to our database, the NPI number for Penn L Mattox PA-C is 1104805001 and activated since 18 years ago. Penn L Mattox PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 4215 Edgewater Dr, Orlando, FL 32804. You can also contact Penn L Mattox PA-C via telephone number is (407) 539-2000. Provider NPI information was last updated on 03/17/2018.

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Overview of Penn L Mattox PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/10/2006
  • Last updated: 03/17/2018

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA3280
  • License State: FL

Provider Mailing Address

  • Address: 1955 1st Avenue North
    Suite 101
    Saint Petersburg, FL 33713
  • Phone: 727-822-3500
  • Fax: 727-822-3228

Provider Practice Location

  • Address: 4215 Edgewater Dr
    Orlando, FL 32804
  • Phone: 407-539-2000
  • Fax: 407-398-0050

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA3280
  • License State: FL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: E4034Y
  • Identifier Type: Other
  • Identifier State: FL
  • Issuer: FL MCARE - QSS SOUTHEAST CLINICAL SERVICES

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Penn L Mattox PA-C?
  • A: The npi number for Penn L Mattox PA-C is 1104805001.
  • Q: What are Penn L Mattox PA-C's specialties?
  • A: Penn L Mattox PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Penn L Mattox PA-C?
  • A: The medical license number for Penn L Mattox PA-C is PA3280 and issued in FL in USA.
  • Q: Where is Penn L Mattox PA-C practice location?
  • A: Penn L Mattox PA-C is practicing at 4215 Edgewater Dr, Orlando, FL 32804.
  • Q: How to contact Penn L Mattox PA-C?
  • A: You can contact Penn L Mattox PA-C via 407-539-2000.