IndividualActive
Elias Matta, M.D.
NPI 1669731394 · Pediatric Emergency Medicine (Pediatrics) Physician · St Petersburg, FL
Provider details
- NPI number
- 1669731394
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME122561 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
501 6th Ave S
St Petersburg, FL 33701-4634
Phone: (727) 898-7451
Approximate (ZIP-level) locationGet directions
Mailing address
501 6th Ave S
St Petersburg, FL 33701-4634
Registry dates
- Enumerated
- 2012-05-15
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.