Mcgowan, Matthew Kyle
Mcgowan, Matthew Kyle is an individual health care provider with primary practice located at 10058 Gulf Center Dr Ste 100 , Fort Myers FL 33913-8961. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Mcgowan, Matthew Kyle can be contacted via phone (833) 493-4325.Contact Information
Primary practice address
10058 Gulf Center Dr Ste 100
Fort Myers FL 33913-8961
Phone: (833) 493-4325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AL 4587 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT42057 | Florida |
Profile Details
| NPI number | 1598218935 |
|---|---|
| LBN Legal business name | Mcgowan, Matthew Kyle |
| Credentials | DPT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2016 |
| Last updated | Sep 6th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598218935 | NPPES |
| Florida | Other | AL 4587 | DEPARTMENT OF HEALTH |
| Florida | Other | PT42057 | DEPARTMENT OF HEALTH |
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