Most Relevant Information
Provider Data
| NPI Number: | 1003249004 |
| Provider Name: | THOMAS MATTHEW MATTOX PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC 15206 |
Most Important Dates
| Enumeration Date: | 08/13/2013 |
| Last Updated: | 11/06/2020 |
Provider Practice Location
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE
FL
322187273
Practice Location Phone/Fax
| Phone: | 9042233321 |
| Fax: |
Provider Mailing Location
10475 CENTURION PKWY N STE 201
JACKSONVILLE
FL
322565004
Provider Mailing Phone/Fax
| Phone: | 9042233321 |
| Fax: |