Provider Demographics
NPI:1992307276
Name:DE MATTEIS, FRANCESCA
Entity type:Individual
Prefix:MS
First Name:FRANCESCA
Middle Name:
Last Name:DE MATTEIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12112 SAINT ANDREWS PL APT 108
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-0705
Mailing Address - Country:US
Mailing Address - Phone:786-521-2313
Mailing Address - Fax:
Practice Address - Street 1:12112 SAINT ANDREWS PL APT 108
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-0705
Practice Address - Country:US
Practice Address - Phone:786-521-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA85072225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty