| Fernando V. Mata , Md, Pa | |
|
1930 Ne 47th St Suite 309 Ft Lauderdale FL 33308-7718 | |
| (954) 938-7011 | |
| (954) 938-9996 |
| Full Name | Fernando V. Mata , Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1930 Ne 47th St, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Fernando V Mata (PRESIDENT) |
| Authorized Official Contact | 9549387011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando V. Mata , Md, Pa 1930 Ne 47th St Suite 309 Ft Lauderdale FL 33308-7718 Ph: (954) 938-7011 | Fernando V. Mata , Md, Pa 1930 Ne 47th St Suite 309 Ft Lauderdale FL 33308-7718 Ph: (954) 938-7011 |
| NPI Number | 1609135128 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609135128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0047345 (Florida) | Primary |
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