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LUMARY MATOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
931 W OAK ST STE 103, KISSIMMEE, FL 34741-4973
(407) 931-0444
(407) 962-4446
Mailing address
931 W OAK ST STE 103, KISSIMMEE, FL 34741-4973
(407) 931-0444
(407) 962-4446

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110209
FL

Other

Enumeration date
02/22/2017
Last updated
12/11/2019
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