CARLOS MATA P.A.
Medical Practice at Hwy 90, Crestview, FL

License number
Florida ME111574
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: DR. CARLOS MATA M.D.
Title: MEDICAL DIRECTOR
Phone: (850) 920-3223
Address
Address 2
424 Highway 90 W, Crestview, FL 32536
205 Tooke St, Fort Walton Beach, FL 32547
National Provider ID: 1265778971
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CARLOS MATA P.A. at bizstanding.com

Carlos Mata PA

Crestview, FL

Industry:
Medical Doctor's Office
Registration:
Feb 21, 2012
Addresses:
424 W West Hwy, Crestview, FL 32536
424 W James Lee Blvd, Crestview, FL 32536
State ID:
P12000017664
Business type:
Domestic for Profit Corporation
Secretary, Treasurer, Director, President, Medical Director, Owner:
Carlos Mata (Secretary, Treasurer, Director, President, Medical Director, Owner)

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