Doctor Name: | DR. FLORINA MATA |
NPI Number: | 1346309101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 33175 |
Business Practice Address: | 3035 S Parker Rd Ste 562 Aurora, CO - 800142926 |
Business Phone Number: | 3036716110 |
Business Fax Number: | 3033697673 |
Mailing Address: | 1433 S Richfield Way, AURORA |
State: | CO |
Postal Code: | 800175271 |
Phone Number: | 3036716110 |
Fax Number: | 3033697673 |
NPI Enumeration Date: | 12/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 33175 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |