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1235172529
JERRY P MATTEO
JACKSONVILLE, FL
NPI
1235172529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME95412)
Enumeration Date
2006-06-14
Last Update Date
2007-12-31
Business Address
-- JERRY P MATTEO MD
655 W 8TH ST UFJP RADIOLOGY
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-3660
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Mailing Address
-- JERRY P MATTEO MD
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3660
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