Provider Demographics
NPI:1427013671
Name:TURPIN, MATT SHERMAN (D O)
Entity Type:Individual
Prefix:
First Name:MATT
Middle Name:SHERMAN
Last Name:TURPIN
Suffix:
Gender:M
Credentials:D O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3490 PRIMROSE WAY
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-2228
Mailing Address - Country:US
Mailing Address - Phone:727-773-0893
Mailing Address - Fax:
Practice Address - Street 1:14540 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-6001
Practice Address - Country:US
Practice Address - Phone:352-597-8287
Practice Address - Fax:352-597-9816
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7911207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL49331YMedicare ID - Type Unspecified
FLH20438Medicare UPIN