EDGAR IVAN MATAMOROS

DAVIE, FL
NPI1801308317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN9397926)
Enumeration Date2017-10-25
Last Update Date2024-03-19
Business Address
Mr. EDGAR IVAN MATAMOROS PMHNP-BC
5595 S UNIVERSITY DR
DAVIE, FL 33328-5307
Phone number: 954-276-3400
Mailing Address
Mr. EDGAR IVAN MATAMOROS PMHNP-BC
2900 CORPORATE WAY DOOR D
MIRAMAR, FL 33025-3925
Phone number: 954-276-5685