Lube, Matthew W

Lube, Matthew W is an individual health care provider with primary practice located at 77 W Underwood St 2Nd Floor, Orlando FL 32806-1122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Lube, Matthew W can be contacted via phone (407) 649-6884.

Contact Information

Primary practice address
77 W Underwood St 2Nd Floor Orlando FL 32806-1122
Phone: (407) 649-6884
Fax: (407) 245-7059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME68455 Florida
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME0068455 Florida

Profile Details

NPI number 1104806256
LBN Legal business name Lube, Matthew W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated May 6th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104806256 NPPES
Florida MEDICAID 263301900

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