Individual
DR. MATTHEW RUGGERI NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 W PINE AVE, LONGWOOD, FL 32750-4168
(321) 201-0172
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-2052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME123246
FL
208M00000X
Hospitalist Physician
Primary
ME123246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128225200
—
FL
01
—
151LX
BCBS
FL
01
—
ME123246
MEDICAL LICENSE
FL
Enumeration date
05/02/2012
Last updated
09/10/2025
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