Organization
GAMALIEL G. MATTOS, MD
Active
Other names
Community Physician Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAMALIEL G MATTOS MD (PHYSICIAN)
(305) 418-2233
Entity
Organization
Contact information
Practice address
4001 NW 97TH AVE, SUITE 101, DORAL, FL 33178-2384
(305) 418-2233
(305) 418-2295
Mailing address
4001 NW 97TH AVE, SUITE 101, DORAL, FL 33178-2384
(305) 418-2233
(305) 418-2295
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME92002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2778876400
—
FL
Enumeration date
11/10/2015
Last updated
11/10/2015
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