MS. DEBORAH DIANE MATTSON


Address: 701 Poinsettia Rd, Belleair, FL 33756
Phone: 7346379825

MS. DEBORAH DIANE MATTSON (NPI# 1346394624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346394624
Entity Type Individual
Full Name MS. DEBORAH DIANE MATTSON
Other Name MS. DEBORAH DIANE ADAMCHECK
Credential MS, PA-C
Practice Address 701 Poinsettia Rd
Belleair
FL 33756
Mailing Address 430 Morton Plant St
Ste 405
Clearwater
FL 33756-3394
Practice Telephone 7346379825
Practice Fax Number 3133752305
Mailing Telephone 7274470668
Mailing Fax Number 7274429332
Enumeration Date 2007-01-23
Last Update Date 2016-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9104177 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 701 POINSETTIA RD
City BELLEAIR
State FL
Zip Code 33756

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City BELLEAIR
Zip Code 33756

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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