Organization
MATA HEALTH LLC
Active
Other names
Orion Kidney Services
Organization subpart
No
Provider details
NPI number
Authorized official
ORLAND MATA CRUZ NP (NURSE PRACTITIONER)
(863) 840-0639
Entity
Organization
Contact information
Practice address
5926 ORION DR, SEBRING, FL 33872-1584
(863) 840-0639
Mailing address
5926 ORION DR, SEBRING, FL 33872-1584
(863) 840-0639
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/01/2021
Last updated
01/03/2022
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