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1760137178
RAFAEL MATOS
TAMPA, FL
NPI
1760137178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11018042)
Enumeration Date
2022-02-14
Last Update Date
2022-10-03
Business Address
RAFAEL MATOS APRN
6726 HANLEY RD
TAMPA, FL 33634-4739
Phone number: 813-284-7903
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Mailing Address
RAFAEL MATOS APRN
1400 NW 107TH AVE STE 500
SWEETWATER, FL 33172-2746
Phone number:
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