Healthcare Provider Details

I. General information

NPI: 1437071644
Provider Name (Legal Business Name): MATRIX MD GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 W OAKLAND PARK BLVD STE 100
OAKLAND PARK FL
33311-1362
US

IV. Provider business mailing address

2880 W OAKLAND PARK BLVD STE 100
OAKLAND PARK FL
33311-1362
US

V. Phone/Fax

Practice location:
  • Phone: 800-840-6844
  • Fax: 954-827-3335
Mailing address:
  • Phone: 800-840-6844
  • Fax: 954-827-3335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JACOBO ELGOZY
Title or Position: OWNER
Credential: MD
Phone: 800-840-6844