Matheaven
Physiological Laboratory · Bartow, FL
Practice location
624 Eisenhower StBartow, FL 33830-9707
- Phone
- (606) 585-8523
NPI record
- NPI
- 1124682935
- Entity type
- Organization (Type 2)
- Enumeration date
- April 26, 2019
- Last updated
- November 16, 2025
- Certified
- November 16, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X |
— | — |
| Meals Provider | 174200000X |
— | — |
| Home Health Agency | 251E00000X |
— | — |
| Ambulatory Family Planning Facility | 261QA0005X |
— | — |
| Health Service Clinic/Center | 261QH0100X |
— | — |
| Infusion Therapy Clinic/Center | 261QI0500X |
— | — |
| Point of Service | 305S00000X |
— | — |
| Blood Bank | 331L00000X |
— | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Medical Foods Supplier | 335G00000X |
— | — |
| Non-emergency Medical Transport (VAN) | 343900000X |
— | — |
| Transportation Broker | 347E00000X |
— | — |
Authorized official
- Name
- Mr. Miladys Fragoso
- Title
- Owner
- Phone
- (606) 585-8523
Other names
- Mat L.L.C.
- Matheaven
Other practice locations (1)
- 4810 US Highway 92 E, Lakeland, FL 33801-9494 · (606) 585-8523
About Matheaven
Matheaven is a healthcare organization registered in the NPI registry with the primary taxonomy Physiological Laboratory (code 293D00000X). The practice location is 624 Eisenhower St, Bartow, FL 33830-9707. The NPI number 1124682935 was assigned on April 26, 2019 and the record was last updated on November 16, 2025.
The authorized official for this organization is Mr. Miladys Fragoso, Owner.
Frequently asked questions
What is the NPI number of Matheaven?
The NPI number is 1124682935.
What is the phone number of Matheaven?
The phone number listed for the practice location is (606) 585-8523.
Where is Matheaven located?
624 Eisenhower St, Bartow, FL 33830-9707.
What is the taxonomy code for Matheaven?
The primary taxonomy code is 293D00000X – Physiological Laboratory; 11 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.