Charles Sedillo Mata , CO
Specialist • Crestview, FL
Professional Overview & Biography Verified Profile Summary
Charles Mata, CO is a registered healthcare professional specializing in Specialist in Crestview, FL. Practice services are available at 4100 S FERDON BLVD under active NPI credentials.
Practice Location & Contact Primary Location
4100 S Ferdon Blvd
B-4
Crestview, FL 325365252
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Crestview, FL
Practicing in Crestview, FL (3036 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Advanced Practice Midwife
Master of Science in Nursing, Certified Nurse Midwife, Advanced Registered Nurse Practitioner
Technician/Technologist - Orthoptist
Certified Orthotist, LDO
Speech-Language Pathologist
Physical Therapist
Occupational Therapist
Behavior Analyst
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 4100 S FERDON BLVD, B-4, CRESTVIEW, FL 325365252 (Tel: 8504490380)
Registered at 1920 E HATTON ST, PENSACOLA, FL 325034842 (Tel: 8504490380)
Recorded as CHARLES MATA, CO
Specialist (License #ORT157 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1920 E Hatton St
Pensacola, FL 325034842
Phone: 8504490380
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