Maclarty, Matthew Keller

Maclarty, Matthew Keller is an individual health care provider with primary practice located at 3501 Health Center Blvd Ste 1050 , Estero FL 34135-8130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Maclarty, Matthew Keller can be contacted via phone (239) 468-0260.

Contact Information

Primary practice address
3501 Health Center Blvd Ste 1050 Estero FL 34135-8130
Phone: (239) 468-0260
Fax: (239) 343-4254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 9120407 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9120407 Florida

Profile Details

NPI number 1699663971
LBN Legal business name Maclarty, Matthew Keller
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2025
Last updated Nov 10th, 2025 - about last year

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 1699663971 NPPES
Florida MEDICAID 128441900

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