Active NPI
Matmar Products LLC,
- Clinic/Center
- Doral, FL
National Provider Identifier
1962960633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.