| Mr Matthew Ryan Smith, PA-C | |
|
21756 State Road 54 Ste 102a, Lutz, FL 33549-2905 | |
| (813) 493-4093 | |
| (656) 444-7252 |
| Full Name | Mr Matthew Ryan Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 21756 State Road 54 Ste 102a, Lutz, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144412362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9107760 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Ryan Smith, PA-C 2920 Bayshore Vista Dr, Tampa, FL 33611-5510 Ph: (813) 787-3347 | Mr Matthew Ryan Smith, PA-C 21756 State Road 54 Ste 102a, Lutz, FL 33549-2905 Ph: (813) 493-4093 |
Mrs. Jennifer Lynn Call, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18928 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-909-1146 Fax: 813-909-4334 | |
Kendall Brodie Northcutt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1854 Oak Grove Blvd, Lutz, FL 33559 Phone: 813-471-9709 Fax: 813-681-1191 | |
Vivian Nia Koufogazos, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 18981 N Dale Mabry Hwy, Lutz, FL 33548 Phone: 813-388-5922 | |
Mrs. Karen Marie Wilcox, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19105 Us Highway 41n, Suite 100, Lutz, FL 33549 Phone: 813-269-2700 | |
James D Cardinale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559 Phone: 813-948-3838 Fax: 813-949-0629 | |
Ky Dau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5332 Van Dyke Rd, Lutz, FL 33558 Phone: 813-960-1200 Fax: 813-441-7555 |