Organization Active NPI

Matmar Products LLC,

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1962960633
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MATMAR PRODUCTS LLC,
Practice address
9585 NW 41St St
Doral, FL 33178-2914
Phone
(305) 640-5433
Fax
(813) 433-5481
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Neil Bazain, MD
Title
Owner
Phone
(305) 640-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9585 NW 41St St
Doral, FL 33178-2914

Mailing address

9585 NW 41St St
Doral, FL 33178-2914
Phone (305) 640-5433

National Provider Directory

National Provider Directory

Locations

9585 NW 41st St
Doral, FL 33178
Phone (305) 640-5433

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1962960633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9585 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782914",
            "telephone_number": "305-640-5433",
            "fax_number": "813-433-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9585 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782914",
            "telephone_number": "305-640-5433",
            "fax_number": "813-433-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATMAR PRODUCTS LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "BAZAIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-640-5433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.