# MEDM LLC

> 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:** Organization
- **Status:** Active
- **Other names:** Matus Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710739537
- **Authorized official:** MARK MATUS MD (MANAGER)
- **Authorized official phone:** (786) 630-8993

## Contact information

- **Practice address:** 4513 NW 31ST AVE, OAKLAND PARK, FL 33309-3403
- **Practice address phone:** (954) 824-2027
- **Mailing address:** 4513 NW 31ST AVE, OAKLAND PARK, FL 33309-3403
- **Mailing address phone:** (954) 824-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2024
- **Last updated:** 05/07/2024