CHARLES S MATA
Osteopathic Medicine at Redstone Ave, Crestview, FL

License number
Florida 156
Issued Date
May 25, 2004
Effective Date
Nov 6, 2015
Expiration Date
Nov 30, 2013
Category
Health Care
Type
Orthotist
Address
Address
120 E Redstone Ave SUITE C, Crestview, FL 32539
Phone
(850) 398-8159
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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