DR. MARIANO DE LA MATA, M.D.

Emergency Medicine

Active Individual
NPI: 1396841623

Practice Address

13506 SUMMERPORT VILLAGE PKWY
#341
Windermere, FL 34786

Phone: (865) 406-9069

Specialties

Specialty Code Primary License
Pediatrics 208000000X No ME99936 (FL)
Internal Medicine 207R00000X No ME99936 (FL)
Emergency Medicine 207P00000X Yes 14898A (WY)

Frequently Asked Questions

NPI 1396841623 is the National Provider Identifier for DR. MARIANO DE LA MATA, M.D., a Emergency Medicine provider located in Windermere, FL. This NPI was enumerated on September 15, 2006.
DR. MARIANO DE LA MATA, M.D. practices at 13506 SUMMERPORT VILLAGE PKWY, #341, Windermere, FL 34786.

Quick Facts

NPI
1396841623
Type
Individual
Enumerated
Sep 15, 2006
Last Updated
Dec 18, 2025

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