Susan Marie Mata in Palm Beach Gardens - Dermatology
Susan Marie Mata - NPI 1477518892
Susan Marie Mata is a Dermatology in Palm Beach Gardens, Florida. Susan Marie Mata practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Susan Marie Mata is 1477518892. The last update date is 2013-08-12.
Susan Marie Mata's current location address is 11030 Rca Center Dr, Palm Beach Gardens, Florida. You can contact this provider via phone number 5617767041 and fax number 5617767043. The mailing address for Susan Marie Mata is 11030 Rca Center Dr, Palm Beach Gardens, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Mata |
|---|---|
| Address | 11030 Rca Center Dr, Palm Beach Gardens, Florida |
| Phone Number | 5617767041 |
| Fax Number | 5617767043 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477518892 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2013-08-12 |
Provider Mailing Address Detail
| Address | 11030 Rca Center Dr |
|---|---|
| City | Palm Beach Gardens |
| State | Florida (FL) |
| Post Code | 334104276 |
| Phone Number | 5617767041 |
| Fax Number | 5617767043 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME66143 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Post Comment/ Review Below
What is the unique identifier code issued to Susan Marie Mata by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Marie Mata has been assigned the NPI (National Provider Identifier) 1477518892. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Susan Marie Mata is physically located?
The Susan Marie Mata is physically situated at the following address: 11030 Rca Center Dr, Palm Beach Gardens, FL, 334104276.
What is Susan Marie Mata's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Marie Mata is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did the Susan Marie Mata receive its 1477518892 assignment from the Centers for Medicare & Medicaid Services?
The Susan Marie Mata was assigned its 1477518892 by the Centers for Medicare & Medicaid Services on 2006-04-19.
When was the information regarding Susan Marie Mata, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Marie Mata, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-08-12.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA