EDINSON ANTONIO MATOS-MORENO (SA-C) – Surgical Physician Assistant, NPI 1174052229

EDINSON ANTONIO MATOS-MORENO (SA-C) is a healthcare provider. based in Davie, Florida. specializing in Surgical Physician Assistant. They hold the professional credentials SA-C. They hold a License No. 14-481 (FL). The NPI Number for EDINSON ANTONIO MATOS-MORENO (SA-C) is 1174052229

Main info

Male
Sole Proprietor
Name
EDINSON ANTONIO MATOS-MORENO (SA-C)
NPI
1174052229
Phone
(954) 801-8559
Address
705 SW 148th Ave Apt 202
Enumeration Date
11 June 2017
Last Update Date
21 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for EDINSON ANTONIO MATOS-MORENO (SA-C)

  • 705 SW 148th Ave Apt 202

    Davie, FL 333253081

    Phone: (954) 801-8559

    Type: Location

  • 705 SW 148TH AVE APT 202

    DAVIE, FL 33325

    Phone: (954) 801-8559

    Type: Location

  • 701 SW 148TH AVE APT 101

    DAVIE, FL 333253080

    Phone: (954) 801-8559

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33325)

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Frequently asked questions

Does EDINSON ANTONIO MATOS-MORENO (SA-C) have a public NPI I can cite?
Public records show EDINSON ANTONIO MATOS-MORENO (SA-C) under NPI 1174052229.
Does the public listing show EDINSON ANTONIO MATOS-MORENO (SA-C) as active?
EDINSON ANTONIO MATOS-MORENO (SA-C)'s NPI record reflects an active status in NPPES.
What services align with EDINSON ANTONIO MATOS-MORENO (SA-C)'s listing?
EDINSON ANTONIO MATOS-MORENO (SA-C)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit EDINSON ANTONIO MATOS-MORENO (SA-C) in Davie, Florida?
For routing, start with Davie, Florida for EDINSON ANTONIO MATOS-MORENO (SA-C), then verify phone and hours locally.
Who maintains EDINSON ANTONIO MATOS-MORENO (SA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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