Individual provider · Type 1 NPI

Edgar Ivan Matamoros, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Davie, FL

NPI number 1801308317 Active

Practice location

5595 S University Dr
Davie, FL 33328-5307

Mailing address

2900 Corporate Way, Door D
Miramar, FL 33025-3925

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN9397926 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1801308317

Edgar Ivan Matamoros, PMHNP-BC's National Provider Identifier is 1801308317, issued on Oct 25, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Davie, FL. The record was last updated on Mar 19, 2024.