Individual
DR. DANIEL EDUARDO MATIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8201 W BROWARD BLVD, PLANTATION, FL 33324-2701
(964) 723-1207
Mailing address
1701 W SANTA CRUZ ST, SAN PEDRO, CA 90732-2725
(307) 286-3210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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