Mateo, Casandra I

Mateo, Casandra I is an individual health care provider with primary practice located at 140 Jfk Dr , Atlantis FL 33462-6608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Mateo, Casandra I can be contacted via phone (561) 968-6767.

Contact Information

Primary practice address
140 Jfk Dr Atlantis FL 33462-6608
Fax: (561) 641-0814
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME91986 Florida

Profile Details

NPI number 1477567691
LBN Legal business name Mateo, Casandra I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 18th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477567691 NPPES
Florida MEDICAID 271453100

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