Individual
MRS. MARIA CAROLINA MATRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W BROADWAY ST STE 214, OVIEDO, FL 32765-9262
(407) 359-5693
Mailing address
456 LANCERS DR, WINTER SPRINGS, FL 32708-3306
(407) 860-6540
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003945800
—
FL
Enumeration date
07/25/2011
Last updated
04/25/2018
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