PENN MATTOX, PA-C

Physician Assistant - Surgical

Active Individual
NPI: 1104805001

Practice Address

4215 EDGEWATER DR
Orlando, FL 32804

Phone: (407) 539-2000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No PA3280 (FL)
Physician Assistant - Surgical 363AS0400X Yes PA380 (FL)

Frequently Asked Questions

NPI 1104805001 is the National Provider Identifier for PENN MATTOX, PA-C, a Physician Assistant - Surgical provider located in Orlando, FL. This NPI was enumerated on January 10, 2006.
PENN MATTOX, PA-C practices at 4215 EDGEWATER DR, Orlando, FL 32804.

Quick Facts

NPI
1104805001
Type
Individual
Enumerated
Jan 10, 2006
Last Updated
Mar 17, 2018

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