Dr Mark J Matouka, MD | |
703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | |
(954) 433-7120 | |
Not Available |
Full Name | Dr Mark J Matouka |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 703 N Flamingo Rd, Pembroke Pines, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518909704 | NPI | - | NPPES |
254120300 | Medicaid | FL | |
42959 | Other | FL | BLUE SHIELD OF FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME75292 (Florida) | Primary |
Entity Name | Inphynet South Broward Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871521880 PECOS PAC ID: 4587563960 Enrollment ID: O20040108000083 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark J Matouka, MD 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 Ph: (800) 424-3672 | Dr Mark J Matouka, MD 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 Ph: (954) 433-7120 |
Dr. Christopher D Poe, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 703 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-436-5000 | |
Dr. Philip C Weimer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7800 Sheridan St, Pembroke Pines, FL 33024 Phone: 954-893-8014 Fax: 954-986-8306 | |
Dr. Joseph P. Bowers, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 703 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-436-5000 | |
Dr. Norville C Atherley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 S Douglas Rd, Pembroke Pines, FL 33025 Phone: 954-985-1470 | |
Dr. Jose R Garrote, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 703 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-436-5000 | |
Ashley Lisiewski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7800 Sheridan St, Pembroke Pines, FL 33024 Phone: 954-883-8855 | |
Dr. Joseph P. Araiza, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7800 Sheridan St, Pembroke Pines, FL 33024 Phone: 954-962-9650 |