Matheos, Gerella

Matheos, Gerella is an individual health care provider with primary practice located at 13101 Bruce B Downs Blvd , Tampa FL 33612-3803. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Matheos, Gerella can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
13101 Bruce B Downs Blvd Tampa FL 33612-3803
Phone: (813) 974-2201
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1588056683
LBN Legal business name Matheos, Gerella
Credentials ITDS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2015
Last updated Mar 21st, 2019 - about 7 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 1588056683 NPPES
Florida MEDICAID 014728000

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