Individual
MARIBEL MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11910 SW 25TH TER, MIAMI, FL 33175-2406
(305) 551-6452
Mailing address
11910 SW 25TH TER, MIAMI, FL 33175-2406
(305) 551-6452
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 9213766
FL
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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