DR. BRIAN MATTISON (NPI# 1407384688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407384688 |
| Entity Type | Individual |
| Full Name | DR. BRIAN MATTISON |
| Credential | DPM |
| Practice Address |
7000 Sw 62nd Ave Ste 401 South Miami FL 33143-4721 |
| Practice Telephone | 3052847761 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7000 SW 62ND AVE STE 401 |
| City | SOUTH MIAMI |
| State | FL |
| Zip Code | 33143-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629483516 | Michael Brandon Lipp | Dermatology | 7000 Sw 62nd Ave Ste 401, Larkin Community Hospital Graduate Medical Education, South Miami, FL 33143-4721 | 2014-06-30 |
| 1518595719 | Patricia Fernandez Urgell | Student in an Organized Health Care Education/Training Program | 7000 Sw 62nd Ave Ste 401, South Miami, FL 33143-4721 | 2020-04-01 |
| 1114555364 | Gina Gisselle Asturrizaga | Student in an Organized Health Care Education/Training Program | 7000 Sw 62nd Ave Ste 401, South Miami, FL 33143-4721 | 2020-03-31 |
| 1003312232 | Juan Cristobal Rondeau | Student in an Organized Health Care Education/Training Program | 7000 Sw 62nd Ave Ste 401, South Miami, FL 33143-4721 | 2018-04-05 |
| 1629469382 | Aswin Vivek Kumar | Student in an Organized Health Care Education/Training Program | 7000 Sw 62nd Ave Ste 401, Larkin Community Hospital, South Miami, FL 33143-4721 | 2015-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1326504077 | Zavita Life Health & Wellness | Clinic/Center | 6104 S Dixie Hwy, Miami, FL 33143 | 2019-02-19 |
| 1629548706 | Floridacare Medical Centers Inc | Internal Medicine | 434 Sw 12 Ave, Miami, FL 33143 | 2018-11-30 |
| 1649766197 | Demys D Gonzalez | Nurse Practitioner | 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 | 2018-07-09 |
| 1225529373 | Marjory P Camargo Bermejo | Behavior Technician | 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 | 2018-05-24 |
| 1609365147 | Foot Ankle and Knee Mri LLC | Clinic/Center | 7520 Sw 57th Ave Ste A, South Miami, FL 33143 | 2018-05-09 |
| 1871082024 | Healing Counseling Services, LLC | Counselor | 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 | 2018-05-03 |
| 1750882957 | Aba Therapy & Instruction Corp | Behavioral Analyst | 8101 Camino Real Apt C-204, Miami, FL 33143 | 2018-02-22 |
| Find all providers in zip 33143 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111801 | Mejdi Najjar | Student in an Organized Health Care Education/Training Program | 6401 Sw 62nd Ter, South Miami, FL 33143-2014 | 2018-04-09 |
| 1639673916 | Bishoy Nabil Nicolas Goubran | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave Fl 33143, South Miami, FL 33143-4701 | 2018-03-21 |
| 1851904601 | Mobashir Hosameddin | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-30 |
| 1013529304 | Samuel Damain Pepeto Clarke | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-19 |
| 1013529379 | Jose Carlos Cabrera Saavedra | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-18 |
| 1477164077 | Patrick Mercho | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-17 |
| 1730790452 | Aadil Modi | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-14 |
| 1518578202 | Michael Anthony Wilson | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-14 |
| 1437760949 | Jeremy Eckes | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-10 |
| 1215547559 | Preet K Brar | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave Fl 33143, South Miami, FL 33143-4701 | 2020-08-02 |
| Find all providers in SOUTH MIAMI | ||||
| City | SOUTH MIAMI |
| Zip Code | 33143 |
Please comment or provide details below to improve the information on DR. BRIAN MATTISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.