GAMALIEL G. MATTOS MD NPI 1568835627

NPI Information

GAMALIEL G. MATTOS, MD is a general practice in Doral, FL. GAMALIEL G. MATTOS, MD NPI is 1568835627. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Community Physician Associates.

The provider's business location address is:

4001 NW 97TH AVE
SUITE 101
DORAL, FL
ZIP 33178-384
Phone: (305) 418-2233
Fax: (305) 418-2295

The provider's authorized official is Gamaliel G Mattos .
The authorized official title is Physician and has the following contact phone number (305) 418-2233.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 11/10/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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