NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1770868416
T.R. MATIONG MD PA
10201 STATE ROAD 52
HUDSON
FL
346693071
1386739506
MATIONG
TEODULO
REYES
14690 SPRING HILL DR STE 305
SPRING HILL
FL
346098102
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