Healthcare Provider Details

I. General information

NPI: 1225676240
Provider Name (Legal Business Name): ALEXANDER M. MATZ P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2019
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 90TH ST
SURFSIDE FL
33154-3210
US

IV. Provider business mailing address

1100 90TH ST
SURFSIDE FL
33154-3210
US

V. Phone/Fax

Practice location:
  • Phone: 786-457-5717
  • Fax: 305-866-5450
Mailing address:
  • Phone: 786-457-5717
  • Fax: 305-866-5450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEXANDER M MATZ
Title or Position: PRESIDENT
Credential: P.T.
Phone: 786-457-5717