Dr. Matthew Carroll Minnette, MD
Pediatrics in Gainesville, FL. Individual provider (NPI-1).
NPI number1114486115
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1114486115
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Carroll Minnette
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME168009 | FL | Yes |
| 208000000X | Pediatrics | 036160247 | IL | |
| 208000000X | Pediatrics | 2022004027 | MO |
Practice location
1600 Sw Archer RdGainesville, FL 32610-3003
Phone 352-627-9350 · Fax 352-273-9054
Mailing address
Po Box 100296Gainesville, FL 32610-0296
Phone 352-627-9350 · Fax 352-273-9054
Other practice locations
1465 S. Grand Blvd.
St. Louis, MO 63104
St. Louis, MO 63104
Phone 314-268-4070 · Fax 314-268-4019
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