Individual
DR. DANIEL RICARDO MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 HODGES DR, TALLAHASSEE, FL 32308-4614
(850) 431-5430
Mailing address
1301 HODGES DR, TALLAHASSEE, FL 32308-4614
(850) 431-5430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD20949
ME
207Q00000X
Family Medicine Physician
Primary
ME122971
FL
207Q00000X
Family Medicine Physician
TRN18888
FL
Other
Enumeration date
05/29/2013
Last updated
01/22/2020
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