LINDA MARIE MATTEOLI (NPI# 1649568320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649568320 |
| Entity Type | Individual |
| Full Name | LINDA MARIE MATTEOLI |
| Credential | D.O, |
| Practice Address |
900 Fox Valley Dr Ste 104 Longwood FL 32779-2551 |
| Mailing Address |
900 Fox Valley Dr Ste 104 Longwood FL 32779 |
| Practice Telephone | 4079024912 |
| Mailing Telephone | 4079024912 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS13606 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7364 Richmond Rd, Williamsburg, VA 231887220 | 7573450011 | 7573450381 |
| Street Address |
900 FOX VALLEY DR STE 104 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275705717 | Quratulann Iftikhar | Family Medicine | 320 West Sabal Palm Place, Sute 200, Longwood, FL 32779 | 2008-03-25 |
| 1396955837 | Himalatha Venkata Varma | Family Medicine | 556 Fl Central Pkwy, Suite 1024, Longwood, FL 32750-5174 | 2007-05-23 |
| 1346318607 | Simone Uwan | Family Medicine | 587 E State Road 434 Unit 1071, Longwood, FL 32750-5283 | 2006-12-02 |
| 1295824431 | Charles L Batson Pa-family | Family Medicine | 450 W Sr 434, #2010, Longwood, FL 32750-5187 | 2006-10-12 |
| 1013920305 | Carol Andrea Stewart | Family Medicine | 260 Wekiva Springs Rd Ste 100, Longwood, FL 32779-5947 | 2006-08-15 |
| 1316966708 | Ivette Santiago-martir | Family Medicine | 320 W Sabal Palm Pl Ste 200, Longwood, FL 32779-3621 | 2006-07-18 |
| 1396774469 | Vandana Balakrishna Rao | Family Medicine | 855 South U.S. Highway 17-92, Longwood, FL 32750 | 2006-07-01 |
| 1801823281 | Vance J Maloney IIi | Family Medicine | 540 Sabal Lake Dr Apt 106, Longwood, FL 32779-6285 | 2006-06-28 |
| 1194772327 | Associated Family Medicine, Pa | Family Medicine | 320 W Sabal Palm Pl, Suite 200, Longwood, FL 32779-3639 | 2006-05-31 |
| 1336107622 | Sangeetha Polasa | Family Medicine | 2180 W State Road 434, Suite 2110, Longwood, FL 32779-5041 | 2006-05-03 |
| Find all providers in LONGWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.