Mattice, Michael Jon
Mattice, Michael Jon is an sole proprietor health care provider with primary practice located at 3725 10Th Court , Vero Beach FL 32960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as his primary health care specialty. Mattice, Michael Jon can be contacted via phone (772) 213-3621.Contact Information
Primary practice address
3725 10Th Court
Vero Beach FL 32960
Phone: (772) 213-3621
Fax: (772) 213-3631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Toxicology | 2083T0002X | ME0049088 | Florida |
Profile Details
| NPI number | 1821075219 |
|---|---|
| LBN Legal business name | Mattice, Michael Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jun 17th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821075219 | NPPES |
| Florida | Other | ME0049088 | MEDICAL LICENSE |
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