HERMAN R MATALLANA DO

Dr HERMAN R MATALLANA DO is a male medical professional, specializing in Otolaryngology. He graduated in 1996 from Kansas City University Of Physicians And Surgeons.

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5420 STRICKLAND AVE
LAKELAND
FL
338124264

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HERMAN R MATALLANA DO Information

Npi 1205982931
Pac Id 0446249718
Professional Enrollment Id I20040511000920
Last Name MATALLANA
First Name HERMAN
Middle Name R
Suffix
Gender M
Credential DO
Medical School Name KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduation Year 1996
Primary Specialty OTOLARYNGOLOGY
Secondary Specialty 1 ALLERGY/IMMUNOLOGY
Secondary Specialty 2 PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties ALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 5420 STRICKLAND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAKELAND
State FL
Zip Code 338124264
Phone Number
Hospital Affiliation Ccn 1 100121
Hospital Affiliation Lbn 1 BARTOW REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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