Provider Demographics
NPI:1689222416
Name:MATINRAZM, JOANNE BAPTISTA
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:BAPTISTA
Last Name:MATINRAZM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12754 BUTLER BAY CT
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6103
Mailing Address - Country:US
Mailing Address - Phone:407-451-0419
Mailing Address - Fax:
Practice Address - Street 1:12754 BUTLER BAY CT
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6103
Practice Address - Country:US
Practice Address - Phone:407-451-0419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider