Fazekas, Matthew L

Fazekas, Matthew L is an individual health care provider with primary practice located at 1150 N 35Th Ave Suite 345, Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fazekas, Matthew L can be contacted via phone (954) 265-6300.

Contact Information

Primary practice address
1150 N 35Th Ave Suite 345 Hollywood FL 33021
Phone: (954) 265-6300
Fax: (954) 961-3600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X ME124479 Florida

Profile Details

NPI number 1639469463
LBN Legal business name Fazekas, Matthew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2011
Last updated Mar 16th, 2021 - about 5 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 1639469463 NPPES
Florida MEDICAID 015053000

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