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1801308317
EDGAR IVAN MATAMOROS
DAVIE, FL
NPI
1801308317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN9397926)
Enumeration Date
2017-10-25
Last Update Date
2024-03-19
Business Address
Mr. EDGAR IVAN MATAMOROS PMHNP-BC
5595 S UNIVERSITY DR
DAVIE, FL 33328-5307
Phone number: 954-276-3400
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Mailing Address
Mr. EDGAR IVAN MATAMOROS PMHNP-BC
2900 CORPORATE WAY DOOR D
MIRAMAR, FL 33025-3925
Phone number: 954-276-5685
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