Individual
DR. GAMALIEL G MATTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4001 NW 97TH AVE, SUITE101, DORAL, FL 33178-2384
(305) 436-7988
(305) 436-3021
Mailing address
4001 NW 97TH AVE, SUITE101, DORAL, FL 33178-2384
(305) 436-7988
(305) 436-3021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME92002
FL
208600000X
Surgery Physician
ME92002
FL
Other
Enumeration date
05/10/2006
Last updated
10/01/2007
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