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Organization
TC TOTS
Active
Organization
TC TOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS A MATOS DN 18887 (VP)
(772) 618-6487
Entity
Organization
Contact information
Practice address
900 SE OCEAN BLVD STE B115, STUART, FL 34994-2471
(772) 618-6487
Mailing address
900 SE OCEAN BLVD STE B115, STUART, FL 34994-2471
(772) 618-6487
Taxonomy
Speciality
Code
Description
License number
State
125Q00000X
Oral Medicine Dentistry
Primary
—
NULL
125Q00000X
Oral Medicine Dentistry
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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