NPI 1316396070
Neil S Matta, LDO
Practice location
- Address
- 300 Beach Dr NE STE 115, St Petersburg, FL 33701-3403
- Phone
- (727) 800-5535
- Fax
- (727) 350-3928
Registered specialties
Optician
Primary
Registry record
- NPI
- 1316396070
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jun 2016
- Record last updated
- 31 Aug 2022
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.