Charlie Mata is a Fort Lauderdale, Florida based nurse anesthetist who is specialized as Nurse Anesthetist nurse. Active license number of Charlie Mata is APRN11033142 for Anesthesia Administration in Florida. his current practice location is 4725 N. Federal Hwy, Fort Lauderdale. Patients can reach him at 954-771-8000. Charlie Mata is CRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1013663343.
Charlie Mata is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Charlie Mata speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Nurse Anesthetist |
| Credentials: | CRNA |
| Gender: | Male |
| Practice Address: | 4725 N. Federal Hwy, Fort Lauderdale,
Florida, 33308-4603 |
| Phone: | 954-771-8000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1013663343 |
| NPI Enumeration Date: | 24 Feb, 2022 |
| NPI Last Update On: | 21 Feb, 2025 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlie Mata are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11033142 | Anesthesia Administration | Florida | Primary | |
| 9347349 | Registered Nurse | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Charlie Mata such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 124611300 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2006 Hogback Rd, Suite 5a
Ann Arbor, Michigan |
| Zip: | 48105 |
| Phone Number: | 734-263-2414 |
| Fax Number: | 734-773-3471 |
Patients can reach Charlie Mata at
4725 N. Federal Hwy, Fort Lauderdale, Florida or can
call to book an appointment on 954-771-8000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.