Organization
FLORIDA MAT PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ROGATINSKY (MANAGING MEMBER)
(954) 995-3805
Entity
Organization
Contact information
Practice address
3113 STIRLING RD STE 103, FORT LAUDERDALE, FL 33312-6547
(954) 995-3805
Mailing address
3113 STIRLING RD STE 103, FORT LAUDERDALE, FL 33312-6547
(954) 995-3805
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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