RALPH A. DEMATTEIS MD PL
Radiology at 9 Ave, Saint Petersburg, FL

License number
Florida ME0021255
Category
Radiology
Type
Surgery
Owner
Name: DR. RALPH A DEMATTEIS MD
Title: PRESIDENT
Phone: (727) 527-8354
Address
Address
2191 9Th Ave N SUITE 240, Saint Petersburg, FL 33713
National Provider ID: 1811205990
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RALPH A. DEMATTEIS, M.D., P.L

1900-72 Ave NE, Saint Petersburg, FL 33702

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
May 13, 2008
Inactive since:
Oct 5, 2013
State ID:
L08000047666
Business type:
Florida Limited Liability Company
Ralph A Dematteis, 1900 72 Ave NE, Saint Petersburg, FL 33702 (Physical)
Agent:
Christopher Norman,315 S Hyde Park Ave, Tampa, FL 33606 (Physical)
FEI/EIN:
N/A

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