Individual
MATTHEW FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8960 COLONIAL CENTER DR STE 206, FORT MYERS, FL 33905-7810
(239) 343-9696
(239) 343-9707
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9696
(239) 343-4198
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
129402
CA
207X00000X
Orthopaedic Surgery Physician
4301094151
MI
207X00000X
Orthopaedic Surgery Physician
51013
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME151913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111112000
—
FL
Enumeration date
05/26/2009
Last updated
07/21/2022
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