NPI 1578321667

Omar Matos Wilson

Practitioner Case Manager/Care Coordinator Miramar, FL

Practice location

Address: 12036 SW 42nd St APT 303, Miramar, FL 33025-7982
Phone: (305) 479-1145

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1578321667
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2024
Record last updated: 12 Mar 2024

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.