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MERNA MATILSKY MD PA NPI 1154341493


NPI Information

NPI: 1154341493
Provider Name: MERNA MATILSKY MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2900 N MILITARY TRL
SUITE #245
BOCA RATON, FL
ZIP 33431
Phone: (561) 994-2007
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MERNA MATILSKY MD PA is a family medicine in Boca Raton, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERNA MATILSKY MD PA NPI is 1154341493. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 N MILITARY TRL
SUITE #245
BOCA RATON, FL
ZIP 33431-365
Phone: (561) 994-2007
Fax: (561) 364-0418

The provider's authorized official is Merna Karen Matilsky .
The authorized official title is Owner and has the following contact phone number (561) 994-2007.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 4/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0076956FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
162945MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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