person
Betania Reyes Matos, MD
General Practice Physician in Orlando, Florida
NPI 1629031679

Betania Reyes Matos is a General Practice Physician based in Orlando, FL. Betania Reyes Matos practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Betania Reyes Matos is 1629031679 and holds a License No. ACN612 (Florida).

The current practice location address for Betania Reyes Matos is 8803 Futures Dr Ste 9, Orlando, FL and can be reached out via phone at 407-240-2361 and via fax at 407-345-8895. You can also correspond with Betania Reyes Matos through the mailing address at 6675 WESTWOOD BLVD STE 475, ORLANDO, FL - 32821-6027 (mailing address contact number: 407-845-0330).

Location: 8803 Futures Dr Ste 9, Orlando, FL, 32821-6027
person
Provider Profile Details
NPI Number
1629031679
Provider Name
Betania Reyes Matos
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8803 Futures Dr Ste 9, Orlando, FL, 32821-6027
Phone Number
407-240-2361
Fax Number
407-345-8895
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IC109Z 01 FL MEDICARE PTAN
014084800 05 FL
612 01 FL FLORIDA ACN
institution
Provider Business Practice Location Address Details
Address
8803 Futures Dr Ste 9
City
State
Zip
32819-9076
Phone Number
407-240-2361
Fax Number
407-345-8895
person
Provider Business Mailing Address Details
Address
6675 Westwood Blvd Ste 475
City
State
Zip
32821-6027
Phone Number
407-845-0330
Fax Number
888-972-1752
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ACN612 (Florida)
Definition
Definition to come...
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