Provider Demographics
NPI:1467668566
Name:MATE, HELEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:MATE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 TAYLOR RD.
Mailing Address - Street 2:#157
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128
Mailing Address - Country:US
Mailing Address - Phone:386-767-1000
Mailing Address - Fax:386-767-1001
Practice Address - Street 1:4770 RIDGEWOOD AVE.
Practice Address - Street 2:STE. 4
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-4544
Practice Address - Country:US
Practice Address - Phone:386-767-1000
Practice Address - Fax:376-767-1001
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2340213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U36223Medicare UPIN
FLU0245Medicare PIN
3975110001Medicare NSC