Dr Carlos Nonesupplied Mata, MD | |
307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | |
(850) 883-8506 | |
Not Available |
Full Name | Dr Carlos Nonesupplied Mata |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891986089 | NPI | - | NPPES |
2777523512 | Other | MYUTMB 2777523512 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | N5227 (Texas) | Primary |
208200000X | Plastic Surgery | ME111574 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Carlos Nonesupplied Mata, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: () - | Dr Carlos Nonesupplied Mata, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8506 |
Dr. Gary M Walker, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, 96 Mdg/cc, Eglin Afb, FL 32542 Phone: 850-883-8221 | |
Dr. William Andrew Scroggs Iii, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-279-6373 |