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Charlie Mata, CRNA

NPI 1013663343 · on the registry since 2022 · sole proprietor

Practice

Address: 4725 N. Federal Hwy
Fort Lauderdale, FL 33308
Phone: (954) 771-8000
Organisation at this address: Todd Jacobs Pa
Cep America Llc
Lalit K Shah Md Pa
Surgical Peace Llc
Holy Cross Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 264

Registry record

Primary taxonomy: Certified Registered Nurse Anesthetist
367500000X
Also registered as: Registered Nurse
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida