Matos-Moreno, Edinson Antonio

Matos-Moreno, Edinson Antonio is an sole proprietor health care provider with primary practice located at 705 Sw 148Th Ave Apt 202 , Davie FL 33325. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Matos-Moreno, Edinson Antonio can be contacted via phone (954) 801-8559.

Contact Information

Primary practice address
705 Sw 148Th Ave Apt 202 Davie FL 33325
Phone: (954) 801-8559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 14-481 Florida

Profile Details

NPI number 1174052229
LBN Legal business name Matos-Moreno, Edinson Antonio
Credentials SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2017
Last updated Jul 21st, 2022 - about 3 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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