Materia Medica

LBN: Materia Medica
Materia Medica is an health care organization with primary practice located at 2804 Del Prado Blvd S Ste 109 , Cape Coral FL 33904-7283. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Materia Medica can be contacted via phone (239) 223-0039, or through Donnelly, Matthew via phone (239) 223-0039.

Contact Information

Primary practice address
2804 Del Prado Blvd S Ste 109 Cape Coral FL 33904-7283
Phone: (239) 223-0039
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Donnelly, Matthew Physician's Assistant Certified (PA-C)
Phone: (239) 223-0039

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X PA 9104124 Florida

Profile Details

NPI number 1538534888
LBN Legal business name Materia Medica
DBA Doing business as
Authorized official Donnelly, Matthew Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2015
Last updated Dec 10th, 2015 - about 9 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.

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