Individual
MATTHEW GRANT NIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4729 US HIGHWAY 98 S STE 104, LAKELAND, FL 33812-4323
(863) 284-1500
Mailing address
1324 LAKELAND HILLS BLVD, ATTN MANAGED CARE, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102208472
VA
208600000X
Surgery Physician
Primary
OS23049
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2019
Last updated
01/19/2026
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