Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIANO DE LA MATA, M.D.
ActiveDR. MARIANO DE LA MATA, M.D. is a Emergency Medicine healthcare provider located in WINDERMERE, Florida. NPI 1396841623 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · WINDERMERE, FL
Registration Details
- NPI Number
- 1396841623
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2006 (19.926027429473 yrs)
- Last Updated
- Dec 18, 2025
- Licenses
-
ME99936 (FL)ME99936 (FL)ME99936 (FL)19293 (WV)14898A (WY)
Practice Information
- Address
-
13506 SUMMERPORT VILLAGE PKWY#341WINDERMERE, FL, 347867366Browse FL providers · Browse ZIP 34786
- Phone
- 8654069069
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in WINDERMERE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN WIBOON | DO | 1952378929 |
| DR. KIMBERLY ANN BRUNO-DE LA MATA | M.D. | 1548216419 |
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.