Matias, Annabelle M

Matias, Annabelle M is an individual health care provider with primary practice located at 1689 Eagle Harbor Pkwy E Suite A, Orange Park FL 32003-4817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Matias, Annabelle M can be contacted via phone (904) 269-1366.

Contact Information

Primary practice address
1689 Eagle Harbor Pkwy E Suite A Orange Park FL 32003-4817
Phone: (904) 269-1366
Fax: (904) 264-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME87828 Florida

Profile Details

NPI number 1194709725
LBN Legal business name Matias, Annabelle M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 2nd, 2012 - about 12 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 1194709725 NPPES
Florida MEDICAID 267354100

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