PAUL MATALA

PORT ST LUCIE, FL
NPI1801167283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS39644)
Enumeration Date2012-01-18
Last Update Date2012-01-18
Business Address
Mr. PAUL MATALA
1661 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-2106
Phone number: 772-873-1892
Mailing Address
Mr. PAUL MATALA
1661 NW PORT ST LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
Phone number: