Jack M. Matheny Ii, M.D.
LBN: Jack M. Matheny Ii, M.D.
Jack M. Matheny Ii, M.D. is an health care organization with primary practice located at 205 Zeagler Dr Ste 101, Palatka FL 32177-3888. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Jack M. Matheny Ii, M.D. can be contacted via phone (328) 328-6746, or through Matheny, Jack Meadows via phone (386) 328-6746.
Contact Information
Primary practice address
205 Zeagler Dr Ste 101
Palatka FL 32177-3888
Phone: (328) 328-6746
Fax:
Website:
Authorized official contact:
Name: Matheny, Jack Meadows Doctor of Medicine (MD)
Phone: (386) 328-6746
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1184671844 |
|---|---|
| LBN Legal business name | Jack M. Matheny Ii, M.D. |
| DBA Doing business as | |
| Authorized official | Matheny, Jack Meadows Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 28th, 2006 |
| Last updated | May 30th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184671844 | NPPES |
| Florida | MEDICAID | 372143401 | |
| Florida | MEDICAID | 372143400 |
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