Search › Florida › 207P00000X
Mariano De La Mata, M.D
NPI 1396841623 · on the registry since 2006
Practice
- Address
- 13506 Summerport Village Pkwy
#341
Windermere, FL 34786 - Phone
- (865) 406-9069
- Organisation at this address
- Hyperflow Medical, Llc
Concierge Family Medical, Llc
Inpatient Hospital Neurologists Pa
Bridgeport Senior Living - Port Isle
Bridgeport Senior Living - Port Isle LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 1200 J D Anderson Dr, Morgantown, WV
- 140 Middletown Loop, Fairmont, WV
- 150 Memorial Dr, Kingwood, WV
- 600 E Dixie Ave, Leesburg, FL
- 3800 Meggison Rd, The Villages, FL
- 1451 El Camino Real, The Villages, FL
- 17021 Us Highway 441, Mount Dora, FL
- 4405 S Us Highway 27, Clermont, FL
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
208000000X
207R00000X
207P00000X - Licence states on file
- FL, WV, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-18
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