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CARLOS MATA P.A.
NPI 1265778971
Plastic Surgery in Crestview, FL

Active since December 27, 2012
424 W HWY 90, CRESTVIEW, FL 32536(850) 689-2260 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlos Mata P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS MATA P.A. (NPI 1265778971) is a healthcare organization registered as a plastic surgery in Crestview, Florida and active in the NPI registry since December 2012. The organization lists Carlos Mata, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265778971
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameCARLOS MATA P.A.
Location Address424 W HWY 90Crestview, FL 32536-2638
Mailing Address205 Tooke StFort Walton Beach, FL 32547-2681 · (850) 920-3223
Phone(850) 689-2260
Organization SubpartNo
Authorized OfficialCarlos MataMedical Director · (850) 920-3223
Enumeration DateDecember 27, 2012
✔ NPI 1265778971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in FL · ME111574
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
424 W HWY 90, Crestview, FL 32536
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Mata P.A.'s NPI number?

The NPI number for Carlos Mata P.A. is 1265778971. It was assigned to this organization in the NPPES registry on December 27, 2012.

Where is Carlos Mata P.A. located?

Carlos Mata P.A. is located at 424 W Hwy 90, Crestview, FL 32536. The listed phone number is (850) 689-2260.

What is Carlos Mata P.A.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Carlos Mata P.A. was last updated on December 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.