Organization
MAINTENANCE MATRIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FOLLIARD (DIRECTOR, OPERATIONS)
(786) 554-1151
Entity
Organization
Contact information
Practice address
200 S BROAD ST STE 430, PHILADELPHIA, PA 19102-3800
(786) 554-1151
(786) 331-9660
Mailing address
1825 PONCE DELEON BLVD, 612, CORAL GABLES, FL 33134
(786) 551-1151
(786) 331-9660
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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