Individual
MATTHEW LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2828 S SEACREST BLVD STE 216, BOYNTON BEACH, FL 33435-7944
(561) 395-2117
Mailing address
2828 S SEACREST BLVD STE 216, BOYNTON BEACH, FL 33435-7944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
307861
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME156182
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
09/02/2022
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