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

Charlie Mata, CRNA

Individual provider Registered Nurse · NPI 1013663343

Charlie Mata, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Lauderdale, Florida. Qualified in 2024, 2 years ago. Practices with Holy Cross Hospital Inc, a 300-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone: (954) 771-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11033142 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9347349 (FL)

Record details

NPI number1013663343
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 24, 2022
Mailing address2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Holy Cross Hospital Inc — 300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Fort Lauderdale