Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME139958 | FL |
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME139958 | FL |
NPI | 1013282177 |
---|---|
Provider Name | Dr. Christa Erin Matrone |
First Address | Orlando, FL 32806-2009 |
Second Address | Orlando, FL 32806-2009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2012 |
Last Update Date | 11/04/2019 |