Individual
DR. JOSE JULIO MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7800 SW 87TH AVE, SUITE A-110, MIAMI, FL 33173-3570
(305) 595-9290
(305) 595-5521
Mailing address
7800 SW 87TH AVE, SUITE A-110, MIAMI, FL 33173-3570
(305) 595-9290
(305) 595-5521
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS 8203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272945800
—
FL
Enumeration date
08/31/2006
Last updated
12/14/2009
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