Heckroth, Matthew Alexander

Heckroth, Matthew Alexander is an individual health care provider with primary practice located at 475 W Town Pl Ste 109 , St Augustine FL 32092-3648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Heckroth, Matthew Alexander can be contacted via phone (904) 398-7205.

Contact Information

Primary practice address
475 W Town Pl Ste 109 St Augustine FL 32092-3648
Phone: (904) 398-7205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME161079 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME161079 Florida

Profile Details

NPI number 1780145219
LBN Legal business name Heckroth, Matthew Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Jul 10th, 2026 - about 4 months 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 1780145219 NPPES
Florida MEDICAID 122143800
Florida MEDICAID 7100691880

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