Matar, Fadi A

Matar, Fadi A is an individual health care provider with primary practice located at 509 S Armenia Ave Ste 200, Tampa FL 33609-3395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Matar, Fadi A can be contacted via phone (813) 353-1515.

Contact Information

Primary practice address
509 S Armenia Ave Ste 200 Tampa FL 33609-3395
Phone: (813) 353-1515
Fax: (813) 353-0865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME65062 Florida

Profile Details

NPI number 1679512479
LBN Legal business name Matar, Fadi A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 30th, 2021 - about 5 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 1679512479 NPPES
Florida Other 25143 BLUE CROSS BLUE SHIELD
Florida MEDICAID 375051500 BLUE CROSS BLUE SHIELD

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