Fazekas, Matthew L
Fazekas, Matthew L is an individual health care provider with primary practice located at 1150 N 35Th Ave Suite 345, Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fazekas, Matthew L can be contacted via phone (954) 265-6300.Contact Information
Primary practice address
1150 N 35Th Ave Suite 345
Hollywood FL 33021
Phone: (954) 265-6300
Fax: (954) 961-3600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | ME124479 | Florida |
Profile Details
| NPI number | 1639469463 |
|---|---|
| LBN Legal business name | Fazekas, Matthew L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2011 |
| Last updated | Mar 16th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639469463 | NPPES |
| Florida | MEDICAID | 015053000 |
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