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Organization
RAFAEL MATOS MEDICAL CENTER INC
Active
Organization
RAFAEL MATOS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL MATOS APRN (OWNER)
(813) 473-8373
Entity
Organization
Contact information
Practice address
15511 N FLORIDA AVE STE A3, TAMPA, FL 33613-1263
(813) 473-8373
(813) 771-7022
Mailing address
4604 NETHERWOOD DR, TAMPA, FL 33624-1171
(813) 735-4820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/30/2024
Last updated
04/16/2025
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