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Penn Mattox, PA-C
NPI 1104805001 · on the registry since 2006
Practice
- Address
- 4215 Edgewater Dr
Orlando, FL 32804 - Phone
- (407) 539-2000
- Fax
- (407) 398-0050
- Organisation at this address
- Qss-Southeast Clinical Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 1955 1st Avenue North, Saint Petersburg, FL
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Physician Assistant
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida