Individual
RUTH ESTHER MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
319 SOUTH DILLARD STREET, MIRACLE HEALTH CENTER, WINTER GARDEN, FL 34787
(407) 574-6969
(407) 574-7076
Mailing address
752 CITRUS COVE DRIVE, WINTER GARDEN, FL 34787
(407) 271-9805
(787) 885-1953
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15913
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011471
PREFERED HEALTH
PR
01
—
2011471
PREFERRED HEALTH
—
Enumeration date
02/07/2006
Last updated
08/24/2011
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