| Dr Carlos Nonesupplied Mata, MD | |
|
307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | |
| (850) 883-8506 | |
| Not Available |
| Full Name | Dr Carlos Nonesupplied Mata |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891986089 | NPI | - | NPPES |
| 2777523512 | Other | MYUTMB 2777523512 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | N5227 (Texas) | Primary |
| 208200000X | Plastic Surgery | ME111574 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carlos Nonesupplied Mata, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: () - | Dr Carlos Nonesupplied Mata, MD 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8506 |
Dr. Gary M Walker, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, 96 Mdg/cc, Eglin Afb, FL 32542 Phone: 850-883-8221 | |
Dr. William Andrew Scroggs Iii, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-279-6373 | |
Dr. Elizabeth Peebles Sager, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8505 |