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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407142664 NPPES
Florida MEDICAID 018554300

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