Matus Medical | |
4513 Nw 31st Ave Oakland Park FL 33309-3403 | |
(954) 824-2027 | |
Not Available |
Full Name | Matus Medical |
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Speciality | Clinic/Center |
Location | 4513 Nw 31st Ave, Oakland Park, Florida |
Authorized Official Name and Position | Mark Matus (MANAGER) |
Authorized Official Contact | 7866308993 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Matus Medical 4513 Nw 31st Ave Oakland Park FL 33309-3403 Ph: (954) 824-2027 | Matus Medical 4513 Nw 31st Ave Oakland Park FL 33309-3403 Ph: (954) 824-2027 |
NPI Number | 1710739537 |
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Provider Enumeration Date | 04/04/2024 |
Last Update Date | 05/07/2024 |
Medicare PECOS PAC ID | 3779025952 |
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Medicare Enrollment ID | O20240603003061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710739537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Linda Ann Lefler |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659414340 PECOS PAC ID: 8426071820 Enrollment ID: I20111221000625 |
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