Edinson Antonio Matos-Moreno, SA-C
Edinson Antonio Matos-Moreno, SA-C is a Surgical Physician Assistant in Davie, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
705 SW 148th Ave Apt 202Davie, FL 33325
Phone: (954) 801-8559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 705 Sw 148th Ave Apt 202, Davie, FL 33325-3081 — (954) 801-8559
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 14-481 (FL) |
Record details
| NPI number | 1174052229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SA-C |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2017 |
| Last updated in NPPES | July 21, 2022 |
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-
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