Matta, Elias N
Matta, Elias N is an sole proprietor health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Matta, Elias N can be contacted via phone (727) 898-7451.Contact Information
Primary practice address
501 6Th Ave S
St Petersburg FL 33701-4634
Phone: (727) 898-7451
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME122561 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA09039000 | New Jersey |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 25MA09039000 | New Jersey |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | ME122561 | Florida |
Profile Details
NPI number | 1669731394 |
---|---|
LBN Legal business name | Matta, Elias N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 15th, 2012 |
Last updated | Feb 3rd, 2021 - about 3 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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