Matuk, F

Matuk, F is an individual health care provider with primary practice located at 32 Suntree Pl , Melbourne FL 32940-7689. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Matuk, F can be contacted via phone (321) 752-7001.

Contact Information

Primary practice address
32 Suntree Pl Melbourne FL 32940-7689
Phone: (321) 752-7001
Fax: (321) 242-1380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME036280 Florida

Profile Details

NPI number 1811992266
LBN Legal business name Matuk, F
Credentials M.D.P.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Feb 6th, 2012 - about 12 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 1811992266 NPPES
Florida MEDICAID 039565000

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