Doctor Name: | MRS. MARGARET ANN MATHEWS-D'AVANZO |
NPI Number: | 1013160399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2157962 |
Business Practice Address: | 4675 Linton Boulveard 202 Delray Beach, FL - 33445 |
Business Phone Number: | 5614955700 |
Business Fax Number: | 5614952020 |
Mailing Address: | 4675 Linton Boulveard, 202 DELRAY BEACH |
State: | FL |
Postal Code: | 33445 |
Phone Number: | 5614955700 |
Fax Number: | 5614952020 |
NPI Enumeration Date: | 10/30/2008 |
NPI Last Update Date: | 10/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2157962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |