Mata, Luis Abraham

Mata, Luis Abraham is an sole proprietor health care provider with primary practice located at 2809 W Waters Ave , Tampa FL 33614-1852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Mata, Luis Abraham can be contacted via phone (813) 348-9088.

Contact Information

Primary practice address
2809 W Waters Ave Tampa FL 33614-1852
Phone: (813) 348-9088
Fax: (813) 348-9310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X BP10040259 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 140604 Florida

Profile Details

NPI number 1861785503
LBN Legal business name Mata, Luis Abraham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2011
Last updated Nov 18th, 2020 - about 6 years ago

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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