Grove, Matthew

Grove, Matthew is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Grove, Matthew can be contacted via phone (352) 265-0535.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-1865
Fax: (352) 265-0328
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME139928 Florida

Profile Details

NPI number 1659807428
LBN Legal business name Grove, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Jun 17th, 2024 - about last year

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 1659807428 NPPES
Florida MEDICAID 121618300

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