Lookup NPI Numbers from the NPI Registry
NPI Profile for EDINSON A MATOS MORENO in DAVIE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Surgical Assistant |
246ZC0007X |
| NPI Number | 1174052229 |
|
| Status | Active | |
| Credentials | SA-C | |
| Entity | Individual | |
| Enumeration date | 06/11/2017 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EDINSON A MATOS MORENO
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EDINSON A MATOS MORENO, SA-C