Wilson, Matthew Ryan
Wilson, Matthew Ryan is an individual health care provider with primary practice located at 1185 Dunlawton Ave Ste 100 , Port Orange FL 32127-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Wilson, Matthew Ryan can be contacted via phone (386) 756-7066.Contact Information
Primary practice address
1185 Dunlawton Ave Ste 100
Port Orange FL 32127-2906
Phone: (386) 756-7066
Fax: (386) 671-2820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | ME162821 | Florida |
Profile Details
| NPI number | 1316006083 |
|---|---|
| LBN Legal business name | Wilson, Matthew Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Oct 9th, 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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