Mattesi, Elizabeth A

Mattesi, Elizabeth A is an individual health care provider with primary practice located at 1223 Gateway Dr , Melbourne FL 32901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mattesi, Elizabeth A can be contacted via phone (321) 728-6002.

Contact Information

Primary practice address
1223 Gateway Dr Melbourne FL 32901
Phone: (321) 728-6002
Fax: (321) 676-9731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3294 Florida

Profile Details

NPI number 1093765323
LBN Legal business name Mattesi, Elizabeth A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 9th, 2020 - 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 1093765323 NPPES
Florida MEDICAID 019045900
Florida Other E3398Y
Florida Other P01165532

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