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DR. HAZEM MATTA DO NPI 1184916736


NPI Information

NPI: 1184916736
Provider Name: DR. HAZEM MATTA, DO
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC

PECOS Registration: Yes

Address:
3680 BROADWAY
FORT MYERS, FL
ZIP 33901
Phone: (239) 936-2316
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DR. Hazem Matta, DO is a vascular and interventional radiology radiology in Fort Myers, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Hazem Matta, DO NPI is 1184916736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3680 BROADWAY
FORT MYERS, FL
ZIP 33901-005
Phone: (239) 936-2316
Fax: (239) 936-3099

The NPI 1184916736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2011 and was last updated on 7/29/2021.


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
12085R0202XRadiologyDiagnostic RadiologyOS14291FLORIDANo
22085R0204XRadiologyVascular & Interventional RadiologyOS14291FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.