institution
Herman R Matallana Do Pa
Facial Plastic Surgery Physician in Lakeland, Florida
NPI 1275518284

Herman R Matallana Do Pa is a Facial Plastic Surgery Physician based in Lakeland, FL and is specialized in Facial Plastic Surgery. Herman R Matallana Do Pa practices in Lakeland, FL. The NPI Number for Herman R Matallana Do Pa is 1275518284 and holds a License No. OS7773 (Florida).

The current practice location address for Herman R Matallana Do Pa is 5420 Strickland Ave, Lakeland, FL and can be reached out via phone at 863-701-9510 and via fax at 863-701-9518.

Location: 5420 Strickland Ave, Lakeland, FL, 33812-4264
institution
Provider Profile Details
NPI Number
1275518284
Provider Name
Herman R Matallana Do Pa
Credential
Provider Entity Type
Organization
Address
5420 Strickland Ave, Lakeland, FL, 33812-4264
Phone Number
863-701-9510
Fax Number
863-701-9518
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208891 01 FL HEALTHEASE
227021 01 FL AMERIGROUP
264722200 05 FL
9261729 01 FL PHCS PRIVATE HEALTHCARE
V0004901 01 FL CITRUSCAID
287598 01 FL AVMED
N208891 01 FL STAYWELL
institution
Provider Business Practice Location Address Details
Address
5420 Strickland Ave
City
State
Zip
33812-4264
Phone Number
863-701-9510
Fax Number
863-701-9518
person
Provider Business Mailing Address Details
Address
5420 Strickland Ave
City
State
Zip
33812-4264
Phone Number
863-701-9510
Fax Number
863-701-9518
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
OS7773 (Florida)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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