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KENNETH M MATTOS AP LLC NPI 1740523901


NPI Information

NPI: 1740523901
Provider Name: KENNETH M MATTOS AP LLC

Doing Business As: MATTOS MEDICAL GROUP

Classification: Acupuncturist - 171100000X
Entity Type: Organization

CLIA Number: 10D2053091

Address:
4912 N ARMENIA AVE
TAMPA, FL
ZIP 33603
Phone: (813) 871-2950
Get Directions

KENNETH M MATTOS AP LLC is an acupuncturist in Tampa, FL. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. KENNETH M MATTOS AP LLC NPI is 1740523901. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mattos Medical Group.

The provider's business location address is:

4912 N ARMENIA AVE
TAMPA, FL
ZIP 33603-402
Phone: (813) 871-2950
Fax: (813) 871-5972

The provider's authorized official is Kenneth M Mattos .
The authorized official title is Owner and has the following contact phone number (813) 871-2950.

The CLIA number assigned to this NPI record is 10D2053091 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistAP2738FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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