Matouka, Mark J.

Matouka, Mark J. is an individual health care provider with primary practice located at 703 N Flamingo Rd , Pembroke Pines FL 33028-1006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Matouka, Mark J. can be contacted via phone (954) 433-7120.

Contact Information

Primary practice address
703 N Flamingo Rd Pembroke Pines FL 33028-1006
Phone: (954) 433-7120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME75292 Florida

Profile Details

NPI number 1518909704
LBN Legal business name Matouka, Mark J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 18th, 2021 - about 3 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 1518909704 NPPES
Florida MEDICAID 254120300
Florida Other 42959

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