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NPI Code Detail

MEDICARE: DR. GEORGE MATUS MD, MPH, MBA

MEDICARE: DR. GEORGE MATUS MD, MPH, MBA
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
1207R00000XInternal Medicine PhysicianME158833FL
2208M00000XHospitalist PhysicianME158833FL

Other Identifiers

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

General Provider Information

NPI Number : 1790314706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE MATUS MD, MPH, MBA
Provider Business Mailing Address
First Line : PO BOX 198054
Second Line :
City : ATLANTA
State : GA
Zip : 30384-8054
Country : US
Telephone Number : 786-662-7980
Fax Number :
Provider Business Practice Location Address
First Line : 8900 N KENDALL DR
Second Line :
City : MIAMI
State : FL
Zip : 33176-2118
Country : US
Telephone Number : 786-596-6743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 12/23/2025

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