Individual
DR. CARLOS NONESUPPLIED MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8506
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME111574
FL
208200000X
Plastic Surgery Physician
Primary
N5227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2777523512
MYUTMB 2777523512
—
Enumeration date
08/05/2007
Last updated
11/28/2012
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