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General NPI Number Information
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NPI Number | 1225906449
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Entity Type | Organization
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Legal Business Name | OPTIONS MEDICAL CLINICAL, P.A.
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 4301 4TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33703-4726
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Country | US
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Telephone | 727-493-2973
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 E PALO VERDE ST
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City | GILBERT
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State | AZ
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Zip | 85296-1579
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Country | US
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Telephone | 480-540-7523
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. KATRINA MATTINGLY
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Credential | MD
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Telephone | 312-360-1604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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