person
Mr. Edgar Ivan Matamoros, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Davie, Florida
NPI 1801308317

Edgar Ivan Matamoros is a Psychiatric/Mental Health Nurse Practitioner based in Miramar, FL and is specialized in Psychiatric/Mental Health. Edgar Ivan Matamoros practices in Davie, FL and has the professional credentials of PMHNP-BC. The NPI Number for Edgar Ivan Matamoros is 1801308317 and holds a License No. APRN9397926 (Florida).

The current practice location address for Edgar Ivan Matamoros is 5595 S University Dr, Davie, FL and can be reached out via phone at 954-276-3400. You can also correspond with Edgar Ivan Matamoros through the mailing address at 2900 CORPORATE WAY, MIRAMAR, FL - 33025-3925 (mailing address contact number: 954-276-5685).

Location: 5595 S University Dr, Davie, FL, 33025-3925
person
Provider Profile Details
NPI Number
1801308317
Provider Name
Edgar Ivan Matamoros
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
5595 S University Dr, Davie, FL, 33025-3925
Phone Number
954-276-3400
Fax Number
Provider Enumeration Date
10/25/2017
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
023991800 05 FL
institution
Provider Business Practice Location Address Details
Address
5595 S University Dr
City
State
Zip
33328-5307
Phone Number
954-276-3400
Fax Number
person
Provider Business Mailing Address Details
Address
5595 S University Dr
City
State
Zip
33328-5307
Phone Number
954-276-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APRN9397926 (Florida)
Definition
Definition to come...
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