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NPI Code Detail

MEDICARE: LINDA JOY MATAR M.D.

MEDICARE:   LINDA JOY MATAR  M.D.
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
1207L00000XAnesthesiology PhysicianME65181FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00669490OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356325153
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA JOY MATAR M.D.
Provider Business Mailing Address
First Line : 9809 BAY ISLAND DR
Second Line :
City : TAMPA
State : FL
Zip : 33615-4217
Country : US
Telephone Number : 813-781-1705
Fax Number :
Provider Business Practice Location Address
First Line : 9809 BAY ISLAND DR
Second Line :
City : TAMPA
State : FL
Zip : 33615-4217
Country : US
Telephone Number : 813-781-1705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 03/07/2023

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