Provider Demographics
NPI:1518204502
Name:STEEN, MATTHEW CARL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CARL
Last Name:STEEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 W UNIVERSITY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-7612
Mailing Address - Country:US
Mailing Address - Phone:352-332-6380
Mailing Address - Fax:352-331-1098
Practice Address - Street 1:7520 W UNIVERSITY AVE STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-7612
Practice Address - Country:US
Practice Address - Phone:352-332-6380
Practice Address - Fax:352-331-1098
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist