| Mattlaure Industries, Llc | |
|
3319 S State Road 7 Ste 113 Wellington FL 33449-8099 | |
| (561) 422-1003 | |
| (561) 422-1003 |
| Full Name | Mattlaure Industries, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3319 S State Road 7 Ste 113, Wellington, Florida |
| Authorized Official Name and Position | Danielle Malone (OM) |
| Authorized Official Contact | 5614221003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mattlaure Industries, Llc 3319 S State Road 7 Ste 113 Wellington FL 33449-8099 Ph: (561) 422-1003 | Mattlaure Industries, Llc 3319 S State Road 7 Ste 113 Wellington FL 33449-8099 Ph: (561) 422-1003 |
| NPI Number | 1285481739 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285481739 | NPI | - | NPPES |
| 269259700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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