| Maintenance Matrix, Llc | |
|
200 S Broad St Ste 430 Philadelphia PA 19102-3800 | |
| (786) 554-1151 | |
| (786) 331-9660 |
| Full Name | Maintenance Matrix, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 200 S Broad St Ste 430, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tracy Folliard (DIRECTOR, OPERATIONS) |
| Authorized Official Contact | 7865541151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maintenance Matrix, Llc 1825 Ponce Deleon Blvd 612 Coral Gables FL 33134 Ph: (786) 551-1151 | Maintenance Matrix, Llc 200 S Broad St Ste 430 Philadelphia PA 19102-3800 Ph: (786) 554-1151 |
| NPI Number | 1316456494 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 09/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316456494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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