Kevin Richard Mattos in Pensacola - Independent Duty Corpsman
Kevin Richard Mattos - NPI 1558576702
Kevin Richard Mattos is a Independent Duty Corpsman in Pensacola, Florida. Kevin Richard Mattos practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Kevin Richard Mattos is 1558576702. The last update date is 2007-07-08.
Kevin Richard Mattos's current location address is 4674 Cerny Rd, Pensacola, Florida. You can contact this provider via phone number 8503410754 and fax number 2288712135. The mailing address for Kevin Richard Mattos is 4674 Cerny Rd, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Richard Mattos |
|---|---|
| Address | 4674 Cerny Rd, Pensacola, Florida |
| Phone Number | 8503410754 |
| Fax Number | 2288712135 |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1558576702 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4674 Cerny Rd |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325262753 |
| Phone Number | 8503410754 |
| Fax Number | 2288712135 |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the unique provider identifier assigned to Kevin Richard Mattos?
The Kevin Richard Mattos has been issued the NPI (National Provider Identifier) 1558576702 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kevin Richard Mattos is located?
The Kevin Richard Mattos is situated at the following address: 4674 Cerny Rd, Pensacola, FL, 325262753.
What is Kevin Richard Mattos's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Richard Mattos's area of specialization is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this field of practice is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558576702 to Kevin Richard Mattos?
The Kevin Richard Mattos received its 1558576702 assignment from the Centers for Medicare & Medicaid Services on 2007-05-11.
When was the Kevin Richard Mattos's information last updated?
The Kevin Richard Mattos's information was last updated on 2007-07-08.
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