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Individual

DR. F MATUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.P.A.

Contact information

Practice address
32 SUNTREE PL, MELBOURNE, FL 32940-7689
(321) 752-7001
(321) 242-1380
Mailing address
32 SUNTREE PL, MELBOURNE, FL 32940-7689
(321) 752-7001
(321) 242-1380

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME036280
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039565000
FL
Enumeration date
06/14/2005
Last updated
02/06/2012
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