Search › Florida › 172A00000X
Shakeem Mata
NPI 1285551721 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1865 Sw 163rd Ave
Miramar, FL 33027 - Phone
- (917) 288-9730
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-06
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