Individual
SAMANTHA MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN MSN FNP-C
Contact information
Practice address
2240 M ST NW, WASHINGTON, DC 20037-1415
(407) 924-1872
Mailing address
2240 M ST NW, WASHINGTON, DC 20037-1415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007506
FL
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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