Otsenre E Matos M D P a
NPI #1285716977 in New Prt Rchy, Florida
Provider Information
- NPI Number
- 1285716977
- Entity Type
- Organization
- Organization Name
- Otsenre E Matos M D P a
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Jul 25, 2013
Practice Location
- Address
- 4821 US HIGHWAY 19 STE 1
- City
- New Prt Rchy
- State
- Florida
- ZIP Code
- 34652-4259
- Phone
- (727) 849-2005
Authorized Official
- Name
- DR. OTSENRE E MATOS, MD
- Title
- OWNER/MEDICAL DIRECTOR
- Phone
- (727) 849-2005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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