Fernando V. Mata , MD, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0047345 Issued in FL

Legal business name

FERNANDO V. MATA , MD, PA

Practice address

1930 NE 47TH St
Suite 309
Ft Lauderdale, FL 33308-7718

Phone

(954) 938-7011

Fax

(954) 938-9996

NPI assigned

May 4, 2012

Organization subpart

No

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

Authorized official

Name

Fernando V Mata, M.D.

Title

President

Phone

(954) 938-7011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1609135128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST",
            "address_2": "SUITE 309",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087718",
            "telephone_number": "954-938-7011",
            "fax_number": "954-938-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST",
            "address_2": "SUITE 309",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087718",
            "telephone_number": "954-938-7011",
            "fax_number": "954-938-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO V. MATA , MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-938-7011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0047345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Fernandez
• Maritza Paz Fernandez, D.C., C.AD.
• Nicholas Christian Fernandez, MD
• Stephanie Fernandez, LMHC
• Vanessa Fernandez, LMHC
• Amanda Ferrara
• Felipe Ferraz Martins Graca Aranha, M.D
• Jeannette Ferreira
• Ana Maria Ferrer, MA, EDM
• Deborah Anne Ferrer, D.M.D., M.S.

• Psychiatry Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.