SCOTT MICHAEL MATTIMORE

LAKE CITY, FL
NPI1619155496
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: FL  RN 2626232)
Enumeration Date2008-02-04
Last Update Date2008-02-04
Business Address
-- SCOTT MICHAEL MATTIMORE RN
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Mailing Address
-- SCOTT MICHAEL MATTIMORE RN
173 SE PINE DR
LAKE CITY, FL 32025-6886
Phone number: 386-752-8135