Individual
RICARDO LUIS MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 NE 25TH ST, LIGHTHOUSE POINT, FL 33064-7744
(954) 942-0321
(954) 946-7018
Mailing address
1821 NE 25TH ST, LIGHTHOUSE POINT, FL 33064-7744
(954) 942-0321
(954) 946-7018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME90399
FL
207X00000X
Orthopaedic Surgery Physician
Primary
MD417760
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502872
GHI
FL
01
—
50209
BC/BS
FL
Enumeration date
07/19/2006
Last updated
01/24/2023
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