Individual
PAUL MICHAEL MATIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1940 NE 35TH AVE, HOMESTEAD, FL 33033-5588
(305) 582-6876
Mailing address
1940 NE 35TH AVE, HOMESTEAD, FL 33033-5588
(305) 582-6876
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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