Da Mata, Christal Louise

Da Mata, Christal Louise is an individual health care provider with primary practice located at 21301 Powerline Rd Ste 103 , Boca Raton FL 33433-2389. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Da Mata, Christal Louise can be contacted via phone (561) 235-5205.

Contact Information

Primary practice address
21301 Powerline Rd Ste 103 Boca Raton FL 33433-2389
Phone: (561) 235-5205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704263161 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704263161 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11016039 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11016039 Florida

Profile Details

NPI number 1750860367
LBN Legal business name Da Mata, Christal Louise
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2018
Last updated Apr 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750860367 NPPES
Other 0000000000 NONE

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