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Individual

MS. LOURDES MATAMOROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SA-C

Contact information

Practice address
2140 W 68 ST, SUITE 200, HIALEAH, FL 33016
(305) 822-7227
(305) 827-6333
Mailing address
2140 W 68 ST SUITE 200, HIALEAH, FL 33016
(305) 822-7227
(305) 827-6333

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-352

Other

Enumeration date
01/20/2017
Last updated
01/20/2017
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