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Contact Information

STEPHANIE S MATTATHIL, MD
3003 W DR MLK BLVD FL JRBLVD2
TAMPA, FL33607-6307
 Phone: 813-586-8079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEPHANIE S MATTATHIL · (Female)

NPI Number 1225415466
Status Active
Credentials MD
Entity Individual
Enumeration date 04/27/2015
Last updated 03/17/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME158898
  • FL Medicaid 115702400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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