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NPI Code Detail

MEDICARE: DR. KATINA A MATTHEWS-FERRARI MD

MEDICARE: DR. KATINA A MATTHEWS-FERRARI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME52933FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1143636000OTHERFLMAGELLAN
21529693OTHERFLUBH
308319OTHERBLUE CROSS
45551041OTHERFLAETNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
697564OTHERFLMHNET
7N302999OTHERFLSTAYWELL

General Provider Information

NPI Number : 1124038013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATINA A MATTHEWS-FERRARI MD
Provider Business Mailing Address
First Line : 19022 MIDWAY BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33948-9648
Country : US
Telephone Number : 941-639-8300
Fax Number : 941-639-6831
Provider Business Practice Location Address
First Line : 1700 EDUCATION AVE
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-6222
Country : US
Telephone Number : 941-639-8300
Fax Number : 941-639-6831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/09/2007

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