Organization
MEDM LLC
Active
Other names
Matus Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MATUS MD (MANAGER)
(786) 630-8993
Entity
Organization
Contact information
Practice address
4513 NW 31ST AVE, OAKLAND PARK, FL 33309-3403
(954) 824-2027
Mailing address
4513 NW 31ST AVE, OAKLAND PARK, FL 33309-3403
(954) 824-2027
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
05/07/2024
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