Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | UO5099 | FL |
Y | 111NI0900X | Internist | UO5099 | FL |
NPI | 1003264284 |
---|---|
Provider Name | Dr. Matthew Mcalister II |
First Address | Hudson, FL 34667-7103 |
Second Address | Hudson, FL 34667-7103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2016 |
Last Update Date | 29/05/2016 |