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Dr. Matthew L Mattern, MD
Student in an Organized Health Care Education/Training Program in Melbourne, Florida
NPI 1366627804

Matthew L Mattern is a Student in an Organized Health Care Education/Training Program based in Melbourne, FL. Matthew L Mattern practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Matthew L Mattern is 1366627804 and holds a License No. ME107913 (Florida).

The current practice location address for Matthew L Mattern is 1350 S Hickory St, Melbourne, FL and can be reached out via phone at 321-434-7313 and via fax at 321-434-7238.

Location: 1350 S Hickory St, Melbourne, FL, 32902-2400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366627804
Provider Name
Matthew L Mattern
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1350 S Hickory St, Melbourne, FL, 32902-2400
Phone Number
321-434-7313
Fax Number
321-434-7238
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003692000 05 FL
institution
Provider Business Practice Location Address Details
Address
1350 S Hickory St
City
Melbourne
State
Florida
Zip
32901-3224
Phone Number
321-434-7313
Fax Number
321-434-7238
person
Provider Business Mailing Address Details
Address
1350 S Hickory St
City
Melbourne
State
Florida
Zip
32901-3224
Phone Number
321-434-7313
Fax Number
321-434-7238
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME107913 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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