Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlos Mata PA

Organization Plastic Surgery Physician · NPI 1265778971

Carlos Mata PA is a Plastic Surgery Physician in Crestview, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

424 W Hwy 90
Crestview, FL 32536-2638
Phone: (850) 689-2260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence ME111574 (FL)

Record details

NPI number1265778971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Mata — Medical Director · (850) 920-3223
NPI enumeratedDecember 27, 2012
Last updated in NPPESDecember 27, 2012
Mailing address205 Tooke St, Fort Walton Beach, FL 32547-2681