Mattingly, Larry L
Mattingly, Larry L is an individual health care provider with primary practice located at 2233 Park Avenue Ste 303, Orange Park FL 32073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mattingly, Larry L can be contacted via phone (904) 264-6800.Contact Information
Primary practice address
2233 Park Avenue Ste 303
Orange Park FL 32073
Phone: (904) 264-6800
Fax: (904) 264-7066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | OS5284 | Florida |
Profile Details
| NPI number | 1194732255 |
|---|---|
| LBN Legal business name | Mattingly, Larry L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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