Noonan, Matthew J

Noonan, Matthew J is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1473. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Noonan, Matthew J can be contacted via phone (352) 273-8610.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-1473
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Website:

Profile Details

NPI number 1215969951
LBN Legal business name Noonan, Matthew J
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Sep 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215969951 NPPES
Florida MEDICAID 103736800
Florida MEDICAID 598163770B

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