| Doctor Name: | MS. DEBORAH DIANE MATTSON |
| NPI Number: | 1346394624 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, PA-C |
| License Number: | PA9104177 |
| Business Practice Address: | 701 Poinsettia Rd Belleair, FL - 33756 |
| Business Phone Number: | 7346379825 |
| Business Fax Number: | 3133752305 |
| Mailing Address: | 430 Morton Plant St, Ste 405 CLEARWATER |
| State: | FL |
| Postal Code: | 337563394 |
| Phone Number: | 7274470668 |
| Fax Number: | 7274429332 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 05/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9104177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |