Organization
MUA CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MOUNTAIN DC (MANAGER)
(407) 756-1051
Entity
Organization
Contact information
Practice address
132 BENMORE DR, WINTER PARK, FL 32792-4101
(407) 756-1051
(407) 756-1054
Mailing address
132 BENMORE DR, WINTER PARK, FL 32792-4101
(407) 756-1051
(407) 756-1054
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OSR632
FL
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/23/2008
Last updated
10/28/2008
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