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Organization
FMC ASSOCIATES OF NEW IBERIA
Active
Organization
FMC ASSOCIATES OF NEW IBERIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MATA M.D. (GENERAL PARTNER)
(337) 367-0271
Entity
Organization
Contact information
Practice address
2309 E MAIN ST, SUITE 400, NEW IBERIA, LA 70560-4046
(337) 367-0271
(337) 364-6139
Mailing address
2309 E MAIN ST, SUITE 400, NEW IBERIA, LA 70560-4046
(337) 367-0271
(337) 364-6139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015812
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1333093
—
LA
Enumeration date
06/08/2016
Last updated
06/08/2016
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