Douglas, Matthew
Douglas, Matthew is an sole proprietor health care provider with primary practice located at 14500 Us Highway 301 S , Starke FL 32091-7858. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Douglas, Matthew can be contacted via phone (904) 964-3290.Contact Information
Primary practice address
14500 Us Highway 301 S
Starke FL 32091-7858
Phone: (904) 964-3290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS46341 | Florida |
Profile Details
| NPI number | 1215537097 |
|---|---|
| LBN Legal business name | Douglas, Matthew |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2020 |
| Last updated | Oct 29th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215537097 | NPPES |
| Florida | Other | PS46341 | STATE LICENSE |
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