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Organization

MATTOS MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH MATTOS (OWNER)
(813) 871-2950
Entity
Organization

Contact information

Practice address
8315 N SAULRAY ST, TAMPA, FL 33604-2770
(813) 871-2950
(813) 871-5972
Mailing address
8315 N SAULRAY ST, TAMPA, FL 33604-2770
(813) 871-2950
(813) 871-5972

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
06/11/2014
Last updated
11/21/2019
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