Darrel Thomas Mathis in Lake City - Orthopedic
Darrel Thomas Mathis - NPI 1679571822
Darrel Thomas Mathis is a Orthopedic in Lake City, Florida. Darrel Thomas Mathis practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Darrel Thomas Mathis is 1679571822. The last update date is 2008-04-04.
Darrel Thomas Mathis's current location address is 279 Sw Main Blvd, Lake City, Florida. You can contact this provider via phone number 3867524313 and fax number 3867528356. The mailing address for Darrel Thomas Mathis is 279 Sw Main Blvd, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrel Thomas Mathis |
|---|---|
| Address | 279 Sw Main Blvd, Lake City, Florida |
| Phone Number | 3867524313 |
| Fax Number | 3867528356 |
| Sole Proprietor | Y |
| Credentials | D.C.,F.A.C |
NPI Number Detail
| NPI Number | 1679571822 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 279 Sw Main Blvd |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320257050 |
| Phone Number | 3867524313 |
| Fax Number | 3867528356 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 111Nx0800X |
| Licence No | CH5141 |
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Definition: Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350023404 | FL | RAILROAD MEDICARE | |
| 50782200 | FL | -- |
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What is the Darrel Thomas Mathis's unique identification number?
The Darrel Thomas Mathis has been assigned the NPI (National Provider Identifier) Number 1679571822 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Darrel Thomas Mathis located?
The Darrel Thomas Mathis is located at 279 Sw Main Blvd, Lake City, FL 320257050.
What is the Darrel Thomas Mathis's specialty and taxonomy code?
The Darrel Thomas Mathis's specialty is Orthopedic, and the corresponding taxonomy code is 111Nx0800X.
When did the Darrel Thomas Mathis receive its 1679571822?
The Darrel Thomas Mathis was issued its 1679571822 on 2005-07-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Darrel Thomas Mathis most recently updated or revised?
The information pertaining to Darrel Thomas Mathis, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-04.
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