Organization
NEO MATRIX
Active
Other names
Neo Matrix Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DAILY (OFFICE MANAGER)
(855) 628-7495
Entity
Organization
Contact information
Practice address
290 CLYDE MORRIS BLVD STE D1, ORMOND BEACH, FL 32174-8204
(855) 628-7495
(407) 502-3608
Mailing address
290 CLYDE MORRIS BLVD STE D1, ORMOND BEACH, FL 32174-8204
(855) 628-7495
(407) 502-3608
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19017
—
FL
Enumeration date
10/01/2019
Last updated
10/01/2019
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