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NPI Code Detail

MEDICARE: MATTHEW JEFFREY BISHOP RPH

MEDICARE: MATTHEW JEFFREY BISHOP RPH
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
1183500000XPharmacistPS69530FL

General Provider Information

NPI Number : 1811878564
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW JEFFREY BISHOP RPH
Provider Business Mailing Address
First Line : 9015 WINGED FOOT DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-4006
Country : US
Telephone Number : 850-728-2280
Fax Number :
Provider Business Practice Location Address
First Line : 1708 N MONROE ST
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-5535
Country : US
Telephone Number : 850-385-6136
Fax Number : 850-385-0584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2025
Last Update Date : 04/07/2026

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