Individual
DR. MATTHEW RYAN IMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5954
(305) 585-7381
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5954
(305) 585-7381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME124243
FL
208000000X
Pediatrics Physician
ME124243
FL
208M00000X
Hospitalist Physician
Primary
ME124243
FL
Other
Enumeration date
04/28/2011
Last updated
03/18/2026
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