Mata, Susan Marie

Mata, Susan Marie is an individual health care provider with primary practice located at 11030 Rca Center Dr Ste 3015, Palm Beach Gardens FL 33410-4276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mata, Susan Marie can be contacted via phone (561) 776-7041.

Contact Information

Primary practice address
11030 Rca Center Dr Ste 3015 Palm Beach Gardens FL 33410-4276
Phone: (561) 776-7041
Fax: (561) 776-7043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME66143 Florida

Profile Details

NPI number 1477518892
LBN Legal business name Mata, Susan Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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