Larry L Mattingly, DO

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

OS5284 Issued in FL

Practice address

2233 Park Avenue
Ste 303
Orange Park, FL 32073

Phone

(904) 264-6800

Fax

(904) 264-7066

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194732255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 PARK AVENUE",
            "address_2": "STE 303",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-264-6800",
            "fax_number": "904-264-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 PARK AVENUE",
            "address_2": "STE 303",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-264-6800",
            "fax_number": "904-264-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "LARRY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS5284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keziah E Matheson-Lindnal, L.P.N.
• Alexandra Kirsten Mathis, DO
• Annabelle M Matias, M.D.
• Rebecca Matos, PTA
• Celeste Matthews, MSW
• Kaylee Lynne Maynard
• David Maynoldi, M.D.
• Joseph Mazerac
• Aylin Mazzuoccolo, DMD
• McAlpin Dental Group P.a.

• Pulmonary Disease Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.