Provider Demographics
NPI:1740226653
Name:DAYO, MATEO B III (MD)
Entity Type:Individual
Prefix:
First Name:MATEO
Middle Name:B
Last Name:DAYO
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3130
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-3130
Mailing Address - Country:US
Mailing Address - Phone:352-867-8311
Mailing Address - Fax:352-867-1053
Practice Address - Street 1:706 THE RIALTO
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-3524
Practice Address - Country:US
Practice Address - Phone:941-484-8004
Practice Address - Fax:941-484-8869
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME859904208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51623BOtherBCBS HMO
FL51623OtherBCBS FL
FL265298600Medicaid
FL51623XMedicare PIN
FLP00091285Medicare PIN
FL780002245Medicare PIN
FL51623OtherBCBS FL
FL51623ZMedicare PIN
FL51623YMedicare PIN
FL51623TMedicare PIN
FL51623BOtherBCBS HMO
FL265298600Medicaid