DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HERMAN RICARDO MATALLANA, DO

Active Sole Proprietor

DR. HERMAN RICARDO MATALLANA, DO is a Plastic Surgery within the Head & Neck healthcare provider located in LAKELAND, Florida. NPI 1205982931 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery within the Head & Neck · LAKELAND, FL

Registration Details

NPI Number
1205982931
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2007 (19.571054423546 yrs)
Last Updated
Jul 26, 2016
Licenses
OS7773 (FL)
OS7773 (FL)
Sole Proprietor
Yes

Practice Information

Address
5420 STRICKLAND AVE
LAKELAND, FL, 338124264
Browse FL providers · Browse ZIP 33812
Phone
8637019510
Fax
8637019518
Primary Specialty
Plastic Surgery within the Head & Neck
207YX0007X
Additional Specialty
Otology & Neurotology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.