CARLOS MATA P.A.

CRESTVIEW, FL
NPI1265778971
Entity TypeOrganization
Authorized ContactCARLOS MATA
Medical Director
850-920-3223
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: FL  ME111574)
Enumeration Date2012-12-27
Last Update Date2012-12-27
Business Address
CARLOS MATA P.A.
424 W HWY 90
CRESTVIEW, FL 32536-2638
Phone number: 850-689-2260
Mailing Address
CARLOS MATA P.A.
205 TOOKE ST
FORT WALTON BEACH, FL 32547-2681
Phone number: 850-920-3223