Healthcare Provider Details

I. General information

NPI: 1598687261
Provider Name (Legal Business Name): DR. AUBREE LYNET MATYAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16251 N CLEVELAND AVE STE 3
NORTH FORT MYERS FL
33903-2176
US

IV. Provider business mailing address

PO BOX 72200
PHILADELPHIA PA
19176-2200
US

V. Phone/Fax

Practice location:
  • Phone: 941-870-0110
  • Fax: 239-731-6555
Mailing address:
  • Phone: 941-870-0110
  • Fax: 239-731-6555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT44838
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: