Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES SEDILLO MATA, CO
ActiveCHARLES SEDILLO MATA, CO is a Specialist healthcare provider located in CRESTVIEW, Florida. NPI 1245438704 is currently active in the NPPES registry. Verify at CMS.
Specialist · CRESTVIEW, FL
Registration Details
- NPI Number
- 1245438704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2007 (19.134157079991 yrs)
- Last Updated
- Nov 1, 2007
- License
-
ORT157 (FL)
Practice Information
- Address
-
4100 S FERDON BLVDB-4CRESTVIEW, FL, 325365252Browse FL providers · Browse ZIP 32536
- Phone
- 8504490380
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in CRESTVIEW, FL
| Name | Credential | NPI |
|---|---|---|
| ALFRED CARDET | MD | 1770572745 |
| MR. SHIJUN PAN | M.D. | 1245280858 |
| MR. JOHN DALE CARLSON | MD | 1932131596 |
| MARIA RODRIGUEZ | — | 1811250749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.