Ercolani, Matthew Corbyons

Ercolani, Matthew Corbyons is an individual health care provider with primary practice located at 401 Commercial Ct Ste E , Venice FL 34292-1652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ercolani, Matthew Corbyons can be contacted via phone (941) 260-4440.

Contact Information

Primary practice address
401 Commercial Ct Ste E Venice FL 34292-1652
Fax: (941) 260-4441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA08338400 New Jersey
Allopathic & Osteopathic Physicians / Urology 208800000X ME107060 Florida

Profile Details

NPI number 1801059894
LBN Legal business name Ercolani, Matthew Corbyons
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated May 12th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801059894 NPPES
Florida Other 344433 AVMED
Florida Other 14A1Y AVMED
Florida Other P986609 AVMED
Florida Other 8962967 AVMED
Florida Other 1193012 AVMED
Florida Other P931608 AVMED
Florida Other EP988X AVMED
Florida Other P00924559 AVMED
Florida Other 9592610 AVMED

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