Dr. Matthew Stephen Mckillop
Internist Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
836 Prudential Dr Ste 1700
Jacksonville
, Florida 32207-8344
Dr. Matthew Stephen Mckillop
Internist Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
836 Prudential Dr Ste 1700
Jacksonville
, Florida 32207-8344
(904) 376-4036
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Dr. Matthew Stephen Mckillop
- Po Box 43667
- Jacksonville, FL
- Zip : 32203-3667
- Fax : (904) 376-4036
- Phone : (904) 720-0599
Second Address
- Dr. Matthew Stephen Mckillop
- 836 Prudential Dr Ste 1700
- Jacksonville, FL
- Zip : 32207-8344
- Fax : (904) 398-1832
- Phone : (904) 398-0125
Reviews
FAQs
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Is Dr. Matthew Stephen Mckillop a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | ME96218 | FL |
| N | 111NI0900X | Internist | ME96218 | FL |
| N | 207RC0000X | Internist - Cardiovascular Disease | ME96218 | FL |
| N | 207RC0001X | Clinical Cardiac Electrophysiologist | 61263 | SC |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME96218 | FL |
National Provider Identifier
| NPI | 1083702963 |
|---|---|
| Provider Name | Dr. Matthew Stephen Mckillop |
| First Address | Jacksonville, FL 32203-3667 |
| Second Address | Jacksonville, FL 32207-8344 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 24/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003547000 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.