Herman R Matallana Do Pa

Specialty details in registry · Lakeland, FL

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At a glance

5420 Strickland Ave, Lakeland, FL 33812-4264

NPPES record updated Oct 14, 2008. Public records can lag behind changes at a practice.

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Practice location

5420 Strickland Ave
Lakeland, FL 33812-4264
Professional details: NPI, taxonomy & registry record
NPI1275518284
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207YS0123X
Enumeration date
Dec 13, 2005
Record updated
Oct 14, 2008
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

207YS0123X · Primary

License reported: OS7773 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5420 Strickland Ave
Lakeland, FL 33812-4264
Phone
(863) 701-9510
Fax
(863) 701-9518
Mailing address
5420 STRICKLAND AVE

LAKELAND, FL 338124264
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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