Neo Matrix

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEO MATRIX

Doing business as

Neo Matrix Medical

Practice address

290 Clyde Morris Blvd Ste D1
Ormond Beach, FL 32174-8204

Phone

(855) 628-7495

Fax

(407) 502-3608

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Maria Daily

Title

Office Manager

Phone

(855) 628-7495

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neo Matrix Medical Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1396386322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CLYDE MORRIS BLVD STE D1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748204",
            "telephone_number": "855-628-7495",
            "fax_number": "407-502-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CLYDE MORRIS BLVD STE D1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748204",
            "telephone_number": "855-628-7495",
            "fax_number": "407-502-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO MATRIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "DAILY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "855-628-7495"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19017",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria@neomatrixmedical.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "290 Clyde Morris Blvd Ste D1",
            "city": "Ormond Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321748204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Neo Matrix Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.