Pritikin, Matthew W

Pritikin, Matthew W is an sole proprietor health care provider with primary practice located at 2550 Se Walton Rd , Port St Lucie FL 34952-7168. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Pritikin, Matthew W can be contacted via phone (772) 335-0400.

Contact Information

Primary practice address
2550 Se Walton Rd Port St Lucie FL 34952-7168
Phone: (772) 335-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9372893 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11037179 Florida

Profile Details

NPI number 1942838412
LBN Legal business name Pritikin, Matthew W
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2020
Last updated Feb 17th, 2025 - about last year

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 1942838412 NPPES
Florida Other 9372893 FLORIDA BOARD OF HEALTH/NURSING
Florida Other 11037179 FLORIDA BOARD OF HEALTH/NURSING

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