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1104186907
LISA A MATTINGLY
FORT MYERS, FL
NPI
1104186907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME146476)
Enumeration Date
2012-05-25
Last Update Date
2023-08-03
Business Address
LISA A MATTINGLY MD
20291 SUMMERLIN RD STE 105
FORT MYERS, FL 33908-3759
Phone number: 239-387-1540
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Mailing Address
LISA A MATTINGLY MD
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 33602-5925
Phone number: 800-480-5243
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