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General NPI Number Information
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NPI Number | 1215557582
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Entity Type | Individual
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Provider Name | MATTHEW E. APICELLA DO
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Gender | Male
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 305-535-7953
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100186
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City | GAINESVILLE
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State | FL
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Zip | 32610-2948
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Country | US
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Telephone | 352-265-5911
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Fax | 352-265-5606
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 331406
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS19841
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 331406
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License Number State | NY
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