Organization
KENNETH M MATTOS AP LLC
Active
Other names
Mattos Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH M MATTOS DOM (OWNER)
(813) 871-2950
Entity
Organization
Contact information
Practice address
4912 N ARMENIA AVE, TAMPA, FL 33603-1402
(813) 871-2950
(813) 871-5972
Mailing address
4912 N ARMENIA AVE, TAMPA, FL 33603-1402
(813) 871-2950
(813) 871-5972
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2738
FL
Other
Enumeration date
04/05/2013
Last updated
07/21/2022
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