MR. JUAN M MATOS (NPI# 1912078320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912078320 |
| Entity Type | Individual |
| Full Name | MR. JUAN M MATOS |
| Practice Address |
12565 Orange Dr Suite 407 Davie FL 33330-4303 |
| Practice Telephone | 9542742352 |
| Mailing Telephone | 9542742352 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538608294 | Juan J Matos | Counselor | 599 Canal St, Lawrence, MA 01840-1244 | 2017-02-14 |
| 1841216108 | Juan Edgardo Matos | Occupational Therapist | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2006-07-13 |
| Street Address |
12565 ORANGE DR SUITE 407 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710910088 | Linda Radford | Psychologist | 12565 Orange Dr, #411, Davie, FL 33330-4303 | 2006-07-09 |
| 1891065173 | American Institute of Sport and Function | Chiropractor | 12565 Orange Dr, Suite 404, Davie, FL 33330-4303 | 2012-01-04 |
| 1609083542 | Oscar Gonzalez Dds Pa | Dentist | 12565 Orange Dr, Suite 414, Davie, FL 33330-4303 | 2007-05-17 |
| 1417018508 | Oscar Gonzalez | Dentist | 12565 Orange Dr, Suite 414, Davie, FL 33330-4303 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297824 | Sure Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 7200 Griffin Rd Ste 3c, Davie, FL 33314-4144 | 2020-02-14 |
| 1649823121 | Pinnacle Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2071 Sw 70th Ave Ste G4, Davie, FL 33317-7346 | 2019-07-23 |
| 1063075539 | Advanced Solutions Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 5400 S University Dr Ste 416b, Davie, FL 33328-5313 | 2019-04-19 |
| 1255802427 | Titan Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 5400 S University Dr Ste 110, Davie, FL 33328-5300 | 2018-12-16 |
| 1164925210 | Baptist Health Medical Group Orthopedics, LLC | Durable Medical Equipment & Medical Supplies | 4741 S University Dr Ste 140, Davie, FL 33328-3819 | 2018-03-15 |
| 1609375286 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 4701 S University Dr, Davie, FL 33328-3819 | 2018-02-08 |
| 1912405010 | Source Medical Services LLC | Durable Medical Equipment & Medical Supplies | 3801 Sw 47th Ave Ste 502, Davie, FL 33314-2816 | 2018-01-24 |
| 1407396047 | Pro Med Management Group LLC | Durable Medical Equipment & Medical Supplies | 3435 Belmont Ter, Davie, FL 33328-1302 | 2017-03-01 |
| 1225497027 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 8842 W State Road 84, Davie, FL 33324-4415 | 2016-02-22 |
| 1689007395 | One Beat Cpr and Learning Center Inc | Durable Medical Equipment & Medical Supplies | 4350 Oakes Rd, Suite 500, Davie, FL 33314-2222 | 2013-08-16 |
| Find all providers in DAVIE | ||||
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| 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.