Carroll Matthews

NPI 1154160042 · on the registry since 2024

Practice

Address: 484 Sw Commerce Dr Ste 101
Lake City, FL 32025
Phone: (386) 406-2577
Fax: (855) 618-2462
Organisation at this address: Gainesville Vamc
Medics Primary Care
Clinical Pet Of Lake City
Cornerstone District 3 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 363L00000X
363L00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-21

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