Individual
MATTHEW JOSEPH FORESTIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805
(863) 687-1321
(863) 284-1730
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A147621
CA
208600000X
Surgery Physician
BP10042731
TX
2086S0127X
Trauma Surgery Physician
Primary
ME138921
FL
Other
Enumeration date
04/28/2012
Last updated
08/06/2022
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