| Jack M. Matheny Ii, M.d. | |
|
700 Zeagler Dr Ste 10 Palatka FL 32177-3826 | |
| (328) 328-6746 | |
| Not Available |
| Full Name | Jack M. Matheny Ii, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 700 Zeagler Dr Ste 10, Palatka, Florida |
| Authorized Official Name and Position | Jack Meadows Matheny (OWNER) |
| Authorized Official Contact | 3863286746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack M. Matheny Ii, M.d. 205 Zeagler Dr Ste 101 Palatka FL 32177-3888 Ph: (328) 328-6746 | Jack M. Matheny Ii, M.d. 700 Zeagler Dr Ste 10 Palatka FL 32177-3826 Ph: (328) 328-6746 |
| NPI Number | 1184671844 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184671844 | NPI | - | NPPES |
| 372143401 | Medicaid | FL | |
| 372143400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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