Provider Demographics
NPI:1154942472
Name:LAMATTINA, BRITTANY
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:LAMATTINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 45TH ST.
Mailing Address - Street 2:KIMMEL BLDG.
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2413
Mailing Address - Country:US
Mailing Address - Phone:561-844-5255
Mailing Address - Fax:561-844-5245
Practice Address - Street 1:901 45TH ST.
Practice Address - Street 2:KIMMEL BLDG.
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2413
Practice Address - Country:US
Practice Address - Phone:561-844-5255
Practice Address - Fax:561-844-5245
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA352961376K00000X
FLPAT9116032363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCNA352961OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH