Provider Demographics
NPI:1871896167
Name:MATTHEWS, MARY JOYCE (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:JOYCE
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 SW 51ST CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5770
Mailing Address - Country:US
Mailing Address - Phone:352-304-8721
Mailing Address - Fax:352-304-8721
Practice Address - Street 1:6565 SW 51ST CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5770
Practice Address - Country:US
Practice Address - Phone:352-304-8721
Practice Address - Fax:352-304-8721
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0397932081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine