Carlos Mata P.A.

LBN: Carlos Mata P.A.
Carlos Mata P.A. is an health care organization with primary practice located at 424 W Hwy 90 , Crestview FL 32536-2638. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Carlos Mata P.A. can be contacted via phone (850) 689-2260, or through Mata, Carlos via phone (850) 920-3223.

Contact Information

Primary practice address
424 W Hwy 90 Crestview FL 32536-2638
Phone: (850) 689-2260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mata, Carlos Doctor of Medicine (MD)
Phone: (850) 920-3223

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME111574 Florida

Profile Details

NPI number 1265778971
LBN Legal business name Carlos Mata P.A.
DBA Doing business as
Authorized official Mata, Carlos Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2012
Last updated Dec 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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