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Dr. Daniel Eduardo Matienzo
Student in an Organized Health Care Education/Training Program in Plantation, Florida
NPI 1679102131

Daniel Eduardo Matienzo is a Student in an Organized Health Care Education/Training Program based in San Pedro, FL. Daniel Eduardo Matienzo practices in Plantation, FL. The NPI Number for Daniel Eduardo Matienzo is 1679102131 and holds a License No. (Florida).

The current practice location address for Daniel Eduardo Matienzo is 8201 W Broward Blvd, Plantation, FL and can be reached out via phone at 964-723-1207. You can also correspond with Daniel Eduardo Matienzo through the mailing address at 1701 W SANTA CRUZ ST, SAN PEDRO, CA - 90732-2725 (mailing address contact number: 307-286-3210).

Location: 8201 W Broward Blvd, Plantation, FL, 90732-2725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679102131
Provider Name
Daniel Eduardo Matienzo
Credential
Provider Entity Type
Individual
Gender
Male
Address
8201 W Broward Blvd, Plantation, FL, 90732-2725
Phone Number
964-723-1207
Fax Number
Provider Enumeration Date
04/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8201 W Broward Blvd
City
Plantation
State
Florida
Zip
33324-2701
Phone Number
964-723-1207
Fax Number
person
Provider Business Mailing Address Details
Address
8201 W Broward Blvd
City
Plantation
State
Florida
Zip
33324-2701
Phone Number
964-723-1207
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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