Fernando V. Mata , Md, PA
NPI #1609135128 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1609135128
- Entity Type
- Organization
- Organization Name
- Fernando V. Mata , Md, PA
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- May 4, 2012
- Last Updated
- May 4, 2012
Practice Location
- Address
- 1930 NE 47TH ST
- Address 2
- SUITE 309
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33308-7718
- Phone
- (954) 938-7011
Authorized Official
- Name
- FERNANDO V MATA, M.D.
- Title
- PRESIDENT
- Phone
- (954) 938-7011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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