Ota, Matthew Mikio

Ota, Matthew Mikio is an individual health care provider with primary practice located at 2135 Sw 19Th Avenue Rd Ste 103 , Ocala FL 34471-7877. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ota, Matthew Mikio can be contacted via phone (352) 237-4133.

Contact Information

Primary practice address
2135 Sw 19Th Avenue Rd Ste 103 Ocala FL 34471-7877
Phone: (352) 237-4133
Fax: (352) 237-7728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107328 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AMD-309 Hawaii

Profile Details

NPI number 1588844351
LBN Legal business name Ota, Matthew Mikio
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated Nov 19th, 2019 - about 5 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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