Matricia, Daniel James

Matricia, Daniel James is an sole proprietor health care provider with primary practice located at 96279 Brady Point Rd , Fernandina Beach FL 32034-7076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matricia, Daniel James can be contacted via phone (904) 321-0088.

Contact Information

Primary practice address
96279 Brady Point Rd Fernandina Beach FL 32034-7076
Phone: (904) 321-0088
Fax: (904) 321-0016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31289 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS6933 Florida

Profile Details

NPI number 1912972530
LBN Legal business name Matricia, Daniel James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Oct 21st, 2015 - about 11 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 1912972530 NPPES
Georgia MEDICAID 000411749D
Georgia Other 915652

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