Search › Florida › 101YM0800X
Jennifer Matilla
NPI 1821462755 · on the registry since 2015
Practice
- Address
- 6507 Gunn Hwy
Tampa, FL 33625 - Phone
- (813) 374-2070
- Fax
- (813) 489-4347
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
- Licence states on file
- FL, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-11-16
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