MEDICARE: MATTHEW EDWARD MEAGHER PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA9103746	FL
2	363A00000X	Physician Assistant	PA9103746	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00435799	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730185356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW EDWARD MEAGHER PAC

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-1614
Fax Number	:	239-343-3695

Provider Business Practice Location Address
First Line	:	2776 CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-5864
Country	:	US
Telephone Number	:	239-343-1614
Fax Number	:	239-343-3695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	12/16/2025

Similar Medicare Providers

1780682575 — DR. KALPANA S. DESHMUKH MD
Practice Location Address:

2776 CLEVELAND AVE
FORT MYERS, FL
33901-5864

Practice Phone: 239-343-2000
Practice Fax: 856-751-0535

1467445544 — LMR IMAGING
Practice Location Address:

2776 CLEVELAND AVE
FORT MYERS, FL
33901-5864

Practice Phone: 239-334-5122
Practice Fax: 239-334-5652

1912994781 — DANIEL PEDRO SANCHEZ MD
Practice Location Address:

2776 CLEVELAND AVE , SUITE 8228
FORT MYERS, FL
33901-5864

Practice Phone: 239-334-5837
Practice Fax: 239-334-5266

1982694451 — IVONNE SCHUSSER-HEAPE CRNA
Practice Location Address:

2776 CLEVELAND AVE
FORT MYERS, FL
33901-5864

Practice Phone: 407-667-0444
Practice Fax: 407-667-4338

1336121599 — HEATHER DIANE PETROVICH ARNP
Practice Location Address:

2776 CLEVELAND AVE , #802
FORT MYERS, FL
33901-5864

Practice Phone: 239-336-6174
Practice Fax: 239-335-6607

1114997889 — BONNIE RASHID M.D.
Practice Location Address:

2776 CLEVELAND AVE
FORT MYERS, FL
33901-5864

Practice Phone: 239-343-2052
Practice Fax: 239-424-1421

Directions to “ MATTHEW EDWARD MEAGHER PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.