NPI 1063180909

Matthew Alexander Philp, CCPBS

Practitioner Perfusionist Tampa, FL

Practice location

Address: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307
Phone: (813) 870-4450
Mailing address: 16028 Eagle River Way, Tampa, FL 33624-6812

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 149010

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Registry record

NPI: 1063180909
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2021
Record last updated: 4 Sep 2021

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.