Matondo, Tapuwa D
Matondo, Tapuwa D is an individual health care provider with primary practice located at 3100 Coral Hills Dr Ste 205 , Coral Springs FL 33065-4139. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Matondo, Tapuwa D can be contacted via phone (954) 345-0404.Contact Information
Primary practice address
3100 Coral Hills Dr Ste 205
Coral Springs FL 33065-4139
Phone: (954) 345-0404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | RS 2014-0989 | New Mexico |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 75852 | Wisconsin |
Profile Details
| NPI number | 1780073742 |
|---|---|
| LBN Legal business name | Matondo, Tapuwa D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2015 |
| Last updated | Oct 23rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780073742 | NPPES |
| Wisconsin | MEDICAID | 1780073742 |
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