CHRISTAL LOUISE DA MATA

BOCA RATON, FL
NPI1750860367
Former NameCHRISTAL LOUISE RICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11016039)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MI  4704263161)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704263161)
363LF0000X Nurse Practitioner, Family
(Licence: FL  aprn11016039)
Enumeration Date2018-08-14
Last Update Date2025-04-30
Business Address
CHRISTAL LOUISE DA MATA FNP, PMHNP
21301 POWERLINE RD STE 103
BOCA RATON, FL 33433-2389
Phone number: 561-235-5205
Mailing Address
CHRISTAL LOUISE DA MATA FNP, PMHNP
397 SW BELMONT CIR
PORT ST LUCIE, FL 34953-7103
Phone number: 279-718-8835