Organization
MERCY PHYSICIAN GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MATUSKA (CEO)
(305) 854-4400
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE, SUITE 301, MIAMI, FL 33133-4236
(305) 285-5090
Mailing address
3661 S MIAMI AVE, SUITE 310, MIAMI, FL 33133-4236
(305) 285-1017
(866) 652-4157
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME93096
FL
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
08/29/2006
Last updated
09/11/2025
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