Individual
JORGE MATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC PHYSICIAN ASSIST
Contact information
Practice address
9600 SW 8TH ST STE 18, MIAMI, FL 33174-2947
(305) 266-0600
(305) 266-2040
Mailing address
9600 SW 8TH ST STE 18, MIAMI, FL 33174-2947
(305) 266-0600
(305) 266-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014543800
—
FL
Enumeration date
02/14/2008
Last updated
08/05/2021
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