Individual
ELDA I MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5609 VICTORIA GARDENS BLVD APT 1506, PORT ORANGE, FL 32127-8975
(787) 564-3159
Mailing address
5609 VICTORIA GARDENS BLVD APT 1506, PORT ORANGE, FL 32127-8975
(787) 564-3159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11236
FL
Other
Enumeration date
10/16/2014
Last updated
10/16/2014
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