Perez Mata, Francisco Jose
Perez Mata, Francisco Jose is an individual health care provider with primary practice located at 13813 Metro Pkwy , Fort Myers FL 33912-4343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Perez Mata, Francisco Jose can be contacted via phone (239) 936-1343.Contact Information
Primary practice address
13813 Metro Pkwy
Fort Myers FL 33912-4343
Phone: (239) 936-1343
Fax: (239) 936-8507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME129084 | Florida |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD60763230 | Washington |
Profile Details
| NPI number | 1407142664 |
|---|---|
| LBN Legal business name | Perez Mata, Francisco Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2011 |
| Last updated | Sep 22nd, 2021 - about 5 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 | 1407142664 | NPPES |
| Florida | MEDICAID | 018554300 |
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