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General NPI Number Information
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NPI Number | 1649705815
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Entity Type | Individual
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Provider Name | MATTHEW LAMAGNA DO
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Gender | Male
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-6529
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Country | US
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Telephone | 352-273-9860
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Fax |
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Provider Business Mailing Address
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Address Line | 3 PROFESSIONAL PARK DR STE 21
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6529
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Country | US
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Telephone | 423-434-6300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 4821
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | E-14563
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS21828
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS21828
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License Number State | FL
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