DR. Jose R Matta, MD

NPI #1508922840 in Bradenton, Florida

Provider Information

NPI Number: 1508922840
Entity Type: Individual
Name: DR. Jose R Matta, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Dec 29, 2006
Last Updated: May 6, 2015

Practice Location

Address: 513 MANATEE AVE E
City: Bradenton
State: Florida
ZIP Code: 34208-1145
Phone: (941) 745-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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