Individual
ZIAD R. MATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-7856
(321) 843-6432
Mailing address
PO BOX 919741, ORLANDO, FL 32891-9741
(321) 841-3900
(218) 436-0753
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME124448
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME124448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017327400
—
FL
01
—
32391
STATE LICENSE
SC
05
—
323910
—
SC
01
—
ME124448
MEDICAL LICENSE
FL
Enumeration date
11/19/2007
Last updated
06/24/2021
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