Mckillop, Matthew Stephen

Mckillop, Matthew Stephen is an individual health care provider with primary practice located at 559 W Twincourt Trl Unit 601 , Saint Augustine FL 32095-8805. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mckillop, Matthew Stephen can be contacted via phone (904) 493-8383.

Contact Information

Primary practice address
559 W Twincourt Trl Unit 601 Saint Augustine FL 32095-8805
Phone: (904) 493-8383
Fax: (904) 376-3209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME96218 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME96218 Florida
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 61263 South Carolina
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME96218 Florida

Profile Details

NPI number 1083702963
LBN Legal business name Mckillop, Matthew Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 16th, 2023 - about last year

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 1083702963 NPPES
Florida MEDICAID 003547000

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