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Herman Ricardo Matallana (DO)

Dr. Herman Ricardo Matallana (DO) is a health care provider specializes in Otolaryngology. He is associated with medical group practice HERMAN R MATALLANA DO PA and is affiliated with hospital of Bartow Regional Medical Center.

profile-icon Basic Information

Practice Location 5420 Strickland Ave, Lakeland, FL 33812-4264, US
Practice Location Phone863-701-9510
Practice Location Fax863-701-9518
GenderMale
Specialty InOtolaryngology
Medical SchoolKansas City University Of Physicians And Surgeons
Graduation Year1996
NPI ?1205982931
PECOS ID0446249718
Enrollment IDI20040511000920
Entity TypeIndividual
Enumeration Date ? Jan 26, 2007
Last Update Date ? Jul 26, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Herman Ricardo Matallana

SpecialtySpecializationLicenseLicense State
OtolaryngologyPlastic Surgery within the Head & Neck OS7773Florida
OtolaryngologyOtolaryngic Allergy OS7773Florida

Medicare-icon Medicare Participation of Herman Ricardo Matallana

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Herman Ricardo Matallana

Medical Group PracticeHerman R Matallana Do Pa
Affiliation 1 Bartow Regional Medical Center

legacy-id-icon Legacy Provider IDs of Herman Ricardo Matallana

Provider IdIssuer StateIssuer TypeIssuer
264722200FloridaMedicaid