Whalio Doctors

NPI 1003249004

Thomas Matthew Mattox, PAC

Practitioner Physician Assistant Jacksonville, FL

Practice location

Address
15255 Max Leggett Pkwy STE 5500, Jacksonville, FL 32218-7273
Phone
(904) 223-3321
Mailing address
10475 Centurion Pkwy N STE 201, Jacksonville, FL 32256-5004

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9113748 (FL)
Acupuncturist
Other Service Providers Taxonomy 171100000X Licence AC 15206 (CA)
Acupuncturist
Other Service Providers Taxonomy 171100000X Licence AP 3783 (FL)

Registry record

NPI
1003249004
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Aug 2013
Record last updated
6 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.