# MR. MATTHEW KELLER MACLARTY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699663971
- **Gender:** Man
- **Credential:** PHYSICIAN ASSISTANT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 9120407 | FL | Yes |
| 363A00000X | Physician Assistant | PA9120407 | FL | — |

## Other

- **Enumeration date:** 06/25/2025
- **Last updated:** 11/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 128441900 | — | FL |