Individual
MELISSA B MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCM-P
Contact information
Practice address
26450 SW 146TH CT APT 202, HOMESTEAD, FL 33032-6531
(305) 498-1244
Mailing address
26450 SW 146TH CT APT 202, HOMESTEAD, FL 33032-6531
(305) 498-1244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
M320542996220
FL
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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