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General NPI Number Information
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NPI Number | 1033434295
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Entity Type | Organization
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Legal Business Name | JAMES A. MATAS M.D., P.A.
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 7300 SANDLAKE COMMONS BLVD SUITE 100
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City | ORLANDO
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State | FL
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Zip | 32819-8050
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Country | US
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Telephone | 407-345-8145
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Fax | 407-345-0701
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Provider Business Mailing Address
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Address Line | 7300 SANDLAKE COMMONS BLVD SUITE 100
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City | ORLANDO
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State | FL
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Zip | 32819-8050
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Country | US
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Telephone | 407-345-8145
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Fax | 407-345-0701
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES A MATAS
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Credential | M.D.
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Telephone | 407-345-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0038216
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License Number State | FL
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