Mateo, David

Mateo, David is an individual health care provider with primary practice located at 700 6Th St S Fl 2 , St Petersburg FL 33701-4815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mateo, David can be contacted via phone (727) 893-6198.

Contact Information

Primary practice address
700 6Th St S Fl 2 St Petersburg FL 33701-4815
Phone: (727) 893-6198
Fax: (727) 893-6978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME78149 Florida

Profile Details

NPI number 1679542039
LBN Legal business name Mateo, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 8th, 2024 - about 2 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 1679542039 NPPES
Florida Other 49525 BCBS PROVIDER #
Florida MEDICAID 023899300 BCBS PROVIDER #

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