LUIS ABRAHAM MATA

TAMPA, FL
NPI1861785503
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
(Licence: FL  140604)
Additional Taxonomies208600000X Surgery
(Licence: TX  BP10040259)
Enumeration Date2011-05-26
Last Update Date2020-11-18
Business Address
LUIS ABRAHAM MATA M.D,
2809 W WATERS AVE
TAMPA, FL 33614-1852
Phone number: 813-348-9088
Mailing Address
LUIS ABRAHAM MATA M.D,
3601 4TH ST MS 8312
LUBBOCK, TX 79430-0002
Phone number: 806-743-2373