Novak, Matthew Ruggeri

Novak, Matthew Ruggeri is an individual health care provider with primary practice located at 175 W Pine Ave , Longwood FL 32750-4168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Novak, Matthew Ruggeri can be contacted via phone (321) 201-0172.

Contact Information

Primary practice address
175 W Pine Ave Longwood FL 32750-4168
Phone: (321) 201-0172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME123246 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME123246 Florida

Profile Details

NPI number 1467710004
LBN Legal business name Novak, Matthew Ruggeri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2012
Last updated Jan 9th, 2024 - about 11 months 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 1467710004 NPPES
Florida MEDICAID 014749500
Florida Other ME123246
Florida Other 151LX

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