Herman Ricardo Matallana in Lakeland - Plastic Surgery Within The Head & Neck
Herman Ricardo Matallana - NPI 1205982931
Herman Ricardo Matallana is a Plastic Surgery Within The Head & Neck in Lakeland, Florida. Herman Ricardo Matallana practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Herman Ricardo Matallana is 1205982931. The last update date is 2016-07-26.
Herman Ricardo Matallana's current location address is 5420 Strickland Ave, Lakeland, Florida. You can contact this provider via phone number 8637019510 and fax number 8637019518. The mailing address for Herman Ricardo Matallana is 5420 Strickland Ave, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Herman Ricardo Matallana |
|---|---|
| Address | 5420 Strickland Ave, Lakeland, Florida |
| Phone Number | 8637019510 |
| Fax Number | 8637019518 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1205982931 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2016-07-26 |
Provider Mailing Address Detail
| Address | 5420 Strickland Ave |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338124264 |
| Phone Number | 8637019510 |
| Fax Number | 8637019518 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | OS7773 |
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Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264722200 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Herman Ricardo Matallana by the Centers for Medicare & Medicaid Services?
The Herman Ricardo Matallana has been assigned the NPI (National Provider Identifier) 1205982931. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Herman Ricardo Matallana's physical address?
The Herman Ricardo Matallana is physically located at 5420 Strickland Ave, in the city of Lakeland, FL, with the postal code 338124264.
What is the area of specialization for Herman Ricardo Matallana, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Herman Ricardo Matallana is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code that categorizes this area of expertise is 207Yx0007X.
When was the Herman Ricardo Matallana's 1205982931 issued?
The Herman Ricardo Matallana's 1205982931 was issued on 2007-01-26.
As of what date were the details pertaining to Herman Ricardo Matallana last refreshed?
The information related to the Herman Ricardo Matallana, including its address, specialty, and other relevant details, was last updated on 2016-07-26.