Individual
DR. JOSE R MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
513 MANATEE AVE E, BRADENTON, FL 34208-1145
(941) 745-1616
(941) 748-1897
Mailing address
513 MANATEE AVE E, BRADENTON, FL 34208-1145
(941) 745-1616
(941) 748-1897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME004077
FL
Other
Enumeration date
12/29/2006
Last updated
05/06/2015
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