MR. MARC ANDREW MATTISON (NPI# 1780761825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780761825 |
| Entity Type | Individual |
| Full Name | MR. MARC ANDREW MATTISON |
| Credential | P.A. |
| Practice Address |
228 W Alexander St Plant City FL 33563-7157 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 8137545480 |
| Practice Fax Number | 8772859902 |
| Mailing Fax Number | 8138764997 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102918 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
228 W ALEXANDER ST |
| City | PLANT CITY |
| State | FL |
| Zip Code | 33563-7157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851354443 | Chinyere Rosemary Nnadi | Internal Medicine | 228 W Alexander St, Plant City, FL 33563-7157 | 2006-04-06 |
| 1194298927 | Vanessa Odriozola | Nurse Practitioner | 228 W Alexander St, Plant City, FL 33563-7157 | 2019-01-03 |
| 1841781010 | Melissa Carolina Nunez | Physician Assistant | 228 W Alexander St, Plant City, FL 33563 | 2018-05-23 |
| 1558726075 | Humana Pharmacy Inc | Pharmacy | 228 W Alexander St, Plant City, FL 33563-7157 | 2015-12-29 |
| 1962899773 | Sony Sam | Family Medicine | 228 W Alexander St, Plant City, FL 33563 | 2015-04-20 |
| 1780094847 | A.h. Zehra Quadri, Md | Non-Pharmacy Dispensing Site | 228 W Alexander St, Plant City, FL 33563-7157 | 2014-04-29 |
| 1881015519 | Esther Marie Avellar | Nurse Practitioner | 228 W Alexander St, Plant City, FL 33563-7157 | 2013-12-24 |
| 1578998456 | Beverley Ann Neider | Nurse Practitioner | 228 W Alexander St, #100, Plant City, FL 33563-7157 | 2013-09-10 |
| 1871835140 | Continucare Medical Center | Non-Pharmacy Dispensing Site | 228 W Alexander St, Plant City, FL 33563-7157 | 2013-03-25 |
| 1417020074 | Anthony M Molodecki | Physician Assistant | 228 W Alexander St, Plant City, FL 33563-7157 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1275171787 | Mary Ann Dillon | Nutritionist | 2011 N Wheeler Street, Plant City, FL 33563 | 2019-12-16 |
| 1023504271 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 1608 Oak Ave, Plant City, FL 33563 | 2018-07-10 |
| 1770092215 | Jennifer Lauren Zeljkovic | Nurse Practitioner | 1703 W. Thonotosassa Rd. A, Plant City, FL 33563 | 2017-09-27 |
| 1831632116 | Nusrat Bangash | Nurse Practitioner | 306 W Dixie St, Plant City, FL 33563 | 2016-11-18 |
| 1265987416 | Genice Collins Davis | Counselor | Heads, 100 E Baker Street #100, Plant City, FL 33563 | 2016-08-17 |
| 1184017089 | The Creative Chance | Counselor | 1803 C Collins Common James Redman Parkway, Plant City, FL 33563 | 2015-03-17 |
| 1518361377 | Anne J Lafontant | General Practice | 1509 W. Reynolds St Jay Care Medical Center, Plant City, FL 33563 | 2014-10-22 |
| 1003160201 | Heritage View Alf Inc. | Assisted Living Facility | 104 N. Gordon Street, Tampa, FL 33563 | 2012-11-09 |
| 1841455607 | Darshan Bhupen Shah | Family Medicine | 301 North Alexander Street, Advanced Care Hospitalists, Plant City, FL 33563 | 2008-07-22 |
| Find all providers in zip 33563 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093161010 | Maram Ahmad Yousef | Physician Assistant | 107 N Alexander St, Plant City, FL 33563-4831 | 2016-05-09 |
| 1174826481 | Lindsey N Wells | Physician Assistant | 615 E Alexander St, Suite 120, Plant City, FL 33563-7126 | 2010-12-08 |
| 1457476889 | Roger Michael Williams | Physician Assistant | 1009 W Baker St, Plant City, FL 33563-4431 | 2007-03-21 |
| 1417020074 | Anthony M Molodecki | Physician Assistant | 228 W Alexander St, Plant City, FL 33563-7157 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | PLANT CITY |
| Zip Code | 33563 |
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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.