Fine, Matthew Samuel

Fine, Matthew Samuel is an individual health care provider with primary practice located at 1951 Sw 172Nd Ave Suite 203, Miramar FL 33029-5593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fine, Matthew Samuel can be contacted via phone (786) 563-3463.

Contact Information

Primary practice address
1951 Sw 172Nd Ave Suite 203 Miramar FL 33029-5593
Phone: (786) 563-3463
Fax: (888) 972-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME 109795 Florida

Profile Details

NPI number 1164686606
LBN Legal business name Fine, Matthew Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2008
Last updated May 5th, 2016 - about 9 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 1164686606 NPPES
Florida MEDICAID 006336000
Florida Other 9661865
Florida Other P01731847
Florida Other P1002647
Florida Other 356310
Florida Other P01074807
Florida Other PRV0002504
Florida Other QMP000003993334
Florida Other 1193037
Florida Other 67679
Florida Other P0014373
Florida Other 1096098
Florida Other 14L81
Florida Other 9560391
Florida Other 1043332
Florida Other 26024
Florida Other F00347690601
Florida Other P943155

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