Mattice, Michael Jon

Mattice, Michael Jon is an sole proprietor health care provider with primary practice located at 3725 10Th Court , Vero Beach FL 32960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as his primary health care specialty. Mattice, Michael Jon can be contacted via phone (772) 213-3621.

Contact Information

Primary practice address
3725 10Th Court Vero Beach FL 32960
Phone: (772) 213-3621
Fax: (772) 213-3631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 2083T0002X ME0049088 Florida

Profile Details

NPI number 1821075219
LBN Legal business name Mattice, Michael Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Jun 17th, 2020 - about 6 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 1821075219 NPPES
Florida Other ME0049088 MEDICAL LICENSE

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