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1144482951
HENRY JOSE MATA
MIAMI, FL
NPI
1144482951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME102069)
Enumeration Date
2008-07-02
Last Update Date
2008-07-02
Business Address
Dr. HENRY JOSE MATA M.D.
8661 SW 159TH PATH
MIAMI, FL 33193-5283
Phone number: 732-692-3747
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Mailing Address
Dr. HENRY JOSE MATA M.D.
8661 SW 159TH PATH
MIAMI, FL 33193-5283
Phone number: 732-692-3747
Copy
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