Charlie Mata, CRNA
NPI #1013663343 in Fort Lauderdale, Florida
Provider Information
- NPI Number
- 1013663343
- Entity Type
- Individual
- Name
- Charlie Mata, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Feb 21, 2025
Practice Location
- Address
- 4725 N. FEDERAL HWY
- City
- Fort Lauderdale
- State
- Florida
- ZIP Code
- 33308-4603
- Phone
- (954) 771-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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