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Organization
AMPMROX INC
Active
Organization
AMPMROX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOUISE MATTAS (PRESIDENT)
56172792660
Entity
Organization
Contact information
Practice address
1832 17TH AVE N, LAKE WORTH, FL 33460-6432
(561) 727-9260
Mailing address
1832 17TH AVE N, LAKE WORTH, FL 33460-6432
(561) 727-9260
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9175209
FL
Other
Enumeration date
09/03/2015
Last updated
09/10/2015
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