| Community Physician Associates | |
|
4001 Nw 97th Ave Suite 101 Doral FL 33178-2384 | |
| (305) 418-2233 | |
| (305) 418-2295 |
| Full Name | Community Physician Associates |
|---|---|
| Speciality | General Practice |
| Location | 4001 Nw 97th Ave, Doral, Florida |
| Authorized Official Name and Position | Gamaliel G Mattos (PHYSICIAN) |
| Authorized Official Contact | 3054182233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physician Associates 4001 Nw 97th Ave Suite 101 Doral FL 33178-2384 Ph: (305) 418-2233 | Community Physician Associates 4001 Nw 97th Ave Suite 101 Doral FL 33178-2384 Ph: (305) 418-2233 |
| NPI Number | 1568835627 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568835627 | NPI | - | NPPES |
| 2778876400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME92002 (Florida) | Primary |
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