Healthcare Provider Details

I. General information

NPI: 1942236609
Provider Name (Legal Business Name): MATTHEW HEPLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 04/20/2024
Certification Date: 04/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 S JOG RD STE 110
DELRAY BEACH FL
33446-2164
US

IV. Provider business mailing address

450 N FEDERAL HWY UNIT 611
BOYNTON BEACH FL
33435-4187
US

V. Phone/Fax

Practice location:
  • Phone: 561-345-1780
  • Fax: 561-214-4007
Mailing address:
  • Phone: 312-375-6337
  • Fax: 561-214-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberME96126
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: