Individual
KENNETH M MATTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.P., D.O.M.
Contact information
Practice address
4912 N ARMENIA AVE, TAMPA, FL 33603-1402
(813) 871-2950
(813) 871-5972
Mailing address
3203 W TAMPA BAY BLVD, TAMPA, FL 33607-6615
(813) 871-2950
(813) 871-5972
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2738
FL
Other
Enumeration date
08/18/2009
Last updated
02/06/2017
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