# KENNETH M MATTOS AP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mattos Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740523901
- **Authorized official:** MR. KENNETH M MATTOS DOM (OWNER)
- **Authorized official phone:** (813) 871-2950

## Contact information

- **Practice address:** 4912 N ARMENIA AVE, TAMPA, FL 33603-1402
- **Practice address phone:** (813) 871-2950
- **Practice address fax:** (813) 871-5972
- **Mailing address:** 4912 N ARMENIA AVE, TAMPA, FL 33603-1402
- **Mailing address phone:** (813) 871-2950
- **Mailing address fax:** (813) 871-5972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2738 | FL | Yes |

## Other

- **Enumeration date:** 04/05/2013
- **Last updated:** 07/21/2022