Individual
CARLOS MATUTE MANDUJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 BRUCE B DOWNS BLVD STE 405, WESLEY CHAPEL, FL 33544-9216
(813) 914-2000
(813) 605-6302
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-6974
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME172349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
05
—
2190517
—
WA
Enumeration date
07/27/2018
Last updated
10/20/2025
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