NPI 1285551721

Shakeem Mata

Practitioner Driver Miramar, FL

Practice location

Address: 1865 SW 163rd Ave, Miramar, FL 33027-4452
Phone: (917) 288-9730

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1285551721
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2026
Record last updated: 6 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.