Provider Information for 1942629951
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AMY MATTHEWS
Sex: Female
NPI: 1942629951
Last Updated: 2014-04-08
Certification Date:
Certification Date:
Details
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| NPI | 1942629951 | ||||||||
| Enumeration Date | 2014-04-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 12748 STONE TOWER LOOP FORT MYERS, FL 33913-6769 United States Phone: 610-762-4219 | Fax: | ||||||||
| Primary Practice Address | 12748 STONE TOWER LOOP FORT MYERS, FL 33913-6769 United States Phone: 610-762-4219 | Fax: | ||||||||
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