NPI Information
- NPI:
1679277537
- Provider Name:
JAMES CHRISTIAN DEMATTEO, DO
- Classification:
Student in an Organized Health Care Education/Training Program - 390200000X
- Entity Type:
Individual
- Address:
1600 S ANDREWS AVE
FORT LAUDERDALE, FL
ZIP 33316
- Phone:
(954) 355-4400
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Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | Yes |