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Penn L Mattox, PA-C
Surgical Physician Assistant in Orlando, Florida
NPI 1104805001

Penn L Mattox is a Surgical Physician Assistant based in Saint Petersburg, FL and is specialized in Surgical. Penn L Mattox practices in Orlando, FL and has the professional credentials of PA-C. The NPI Number for Penn L Mattox is 1104805001 and holds a License No. PA3280 (Florida).

The current practice location address for Penn L Mattox is 4215 Edgewater Dr, Orlando, FL and can be reached out via phone at 407-539-2000 and via fax at 407-398-0050.

Location: 4215 Edgewater Dr, Orlando, FL, 33713-8907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104805001
Provider Name
Penn L Mattox
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4215 Edgewater Dr, Orlando, FL, 33713-8907
Phone Number
407-539-2000
Fax Number
407-398-0050
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2920905 00 05 FL
E4034Y 01 FL FL MCARE - QSS SOUTHEAST CLINICAL SERVICES
institution
Provider Business Practice Location Address Details
Address
4215 Edgewater Dr
City
Orlando
State
Florida
Zip
32804-2206
Phone Number
407-539-2000
Fax Number
407-398-0050
person
Provider Business Mailing Address Details
Address
4215 Edgewater Dr
City
Orlando
State
Florida
Zip
32804-2206
Phone Number
407-539-2000
Fax Number
407-398-0050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA380 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA3280 (Florida)
Definition
Definition to come...
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