Monaco, Matthew Raymond
Monaco, Matthew Raymond is an individual health care provider with primary practice located at 5502 Marvin Shields Blvd , Gulfport MS 39501. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Monaco, Matthew Raymond can be contacted via phone (678) 770-0584.Contact Information
Primary practice address
5502 Marvin Shields Blvd
Gulfport MS 39501
Phone: (678) 770-0584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | 0101272955 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101272955 | Virginia |
Profile Details
| NPI number | 1790315083 |
|---|---|
| LBN Legal business name | Monaco, Matthew Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2020 |
| Last updated | Oct 2nd, 2023 - about 2 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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