Individual
DR. WILMER NEPTALI MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15955 SW 96TH ST STE 102, MIAMI, FL 33196
(786) 467-3435
(786) 533-9383
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME134812
FL
Other
Enumeration date
03/23/2013
Last updated
07/11/2019
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