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Derek Mattingly
NPI 1245883677 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6221 Watermark Dr Apt 106
Riverview, FL 33578 - Phone
- (859) 457-9190
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2019-07-24
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