Individual
MARIA MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2895 38TH AVE N, SAINT PETERSBURG, FL 33713
(727) 526-3125
Mailing address
2895 38TH AVE N, SAINT PETERSBURG, FL 33713
(727) 526-3125
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906594
FL
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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