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

JACK M MATHENY II

Active Sole Proprietor

Family Medicine · PALATKA, FL

Registration Details

NPI Number
1629040043
Provider Type
Individual
Gender
Male
NPI Issued
Feb 2, 2006 (20.263778690861 yrs)
Last Updated
Apr 2, 2019
License
ME0048571 (FL)
Sole Proprietor
Yes

Practice Information

Address
700 ZEAGLER DR STE 10
PALATKA, FL, 321773826
Browse FL providers · Browse ZIP 32177
Phone
3863286746
Fax
3863287554
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PALATKA, FL

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.