Organization · Type 2 NPI
Maintenance Matrix, LLC
Primary Care Clinic/Center · Philadelphia, PA
NPI number
1316456494
Active
Practice location
200 S Broad St Ste 430
Philadelphia, PA 19102-3800
Fax (786) 331-9660
Mailing address
1825 Ponce Deleon Blvd, 612
Coral Gables, FL 33134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1316456494
Maintenance Matrix, LLC's National Provider Identifier is 1316456494, issued on Sep 21, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 21, 2017.