Dematteis, Ralph Angelo

Dematteis, Ralph Angelo is an individual health care provider with primary practice located at 2191 9Th Ave N Suite 110, St Petersburg FL 33713-7146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dematteis, Ralph Angelo can be contacted via phone (727) 322-1600.

Contact Information

Primary practice address
2191 9Th Ave N Suite 110 St Petersburg FL 33713-7146
Phone: (727) 322-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME21255 Florida

Profile Details

NPI number 1346219698
LBN Legal business name Dematteis, Ralph Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 9th, 2008 - about 16 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 1346219698 NPPES
Florida MEDICAID 054100100

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