Susan B Mattison
Podiatrist
3695 W Boynton Beach Blvd Suite 4
Boynton Beach
, Florida 33436-4516
Susan B Mattison
Podiatrist
3695 W Boynton Beach Blvd Suite 4
Boynton Beach
, Florida 33436-4516
(561) 364-5522
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Susan B Mattison
- 3695 W Boynton Beach Blvd Suite 4
- Boynton Beach, FL
- Zip : 33436-4516
- Phone : (561) 364-5522
Second Address
- Susan B Mattison
- 3695 W Boynton Beach Blvd Suite 4
- Boynton Beach, FL
- Zip : 33436-4516
- Phone : (561) 364-5522
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO1924 | FL |
| Y | 222Z00000X | Podiatrist | PO1924 | FL |
National Provider Identifier
| NPI | 1043292733 |
|---|---|
| Provider Name | Susan B Mattison |
| First Address | Boynton Beach, FL 33436-4516 |
| Second Address | Boynton Beach, FL 33436-4516 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T87856 | (02) | 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.