Matheaven

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MATHEAVEN

Practice address

624 Eisenhower St
Bartow, FL 33830-9707

Phone

(606) 585-8523

NPI assigned

Apr 26, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Miladys FragosoNPI 1003688383

Title

Owner

Phone

(606) 585-8523

Specialties & licenses 12

Addresses

Other names 2

• MAT L.L.C. Doing business as
• Matheaven Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miladys Ivette Fragoso, PHLEBOTOMIST

  • Phlebotomy Technician
  • Lakeland, FL
  • NPI 1003688383
  NPD Authorized official
• Anupama K Mathew, M.D.

  • Gastroenterology Physician
  • Peoria, AZ
  • NPI 1164620811
  NPD
• Santiago Fragoso Sr.

  • Non-emergency Medical Transport (VAN)
  • Winter Haven, FL
  • NPI 1649758210
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763251200000",
    "number": "1124682935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 EISENHOWER ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338309707",
            "telephone_number": "606-585-8523",
            "fax_number": "863-251-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 EISENHOWER ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338309707",
            "telephone_number": "606-585-8523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4810 US Highway 92 E",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338019494",
            "country_code": "US",
            "telephone_number": "606-585-8523",
            "fax_number": "863-251-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATHEAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A",
        "authorized_official_last_name": "FRAGOSO",
        "authorized_official_first_name": "MILADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-585-8523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "331L00000X",
            "taxonomy_group": "",
            "desc": "Blood Bank",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAT L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matheaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shakina Marsh
• Sharon D Martin, ITDS
• Yesenia Maria Martin, PMHNP
• Olivia Martinez
• Beena Mathai, FNP-C
• Jeena Mathew
• Jennifer Maul
• Celestine Maxwell, RN
• Linda Judy May, DDS
• Amanda Margaret Mazur, R.PH., C. PH

• Physiological Laboratory in Bartow, FL
• Providers in Bartow, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.