Edinson Antonio Matos-moreno, SA-C - Physician Assistant in Davie, FL

Edinson Antonio Matos-moreno, SA-C is a Physician Assistant - Surgical based in Davie, Florida. Edinson Antonio Matos-moreno is licensed to practice in * (Not Available) (license number ) and his current practice location is 705 Sw 148th Ave Apt 202, Davie, Florida. He can be reached at his office (for appointments etc.) via phone at (954) 801-8559.

NPI number for Edinson Antonio Matos-moreno is 1174052229 and his current mailing address is 701 Sw 148th Ave Apt 101, Davie, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174052229.

Contact Information

Edinson Antonio Matos-moreno, SA-C
705 Sw 148th Ave Apt 202,
Davie, FL 33325
(954) 801-8559
Not Available

Map and Direction




Provider's Profile

Full NameEdinson Antonio Matos-moreno
GenderMale
SpecialityPhysician Assistant - Surgical
Location705 Sw 148th Ave Apt 202, Davie, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174052229
  • Provider Enumeration Date: 06/11/2017
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Edinson Antonio Matos-moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174052229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))Primary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant 14-481 (Florida)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edinson Antonio Matos-moreno is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edinson Antonio Matos-moreno, SA-C
701 Sw 148th Ave Apt 101,
Davie, FL 33325-3080

Ph: (954) 801-8559
Edinson Antonio Matos-moreno, SA-C
705 Sw 148th Ave Apt 202,
Davie, FL 33325

Ph: (954) 801-8559

Reviews and Comments


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