MEDICARE: DR. MATTHEW SAMUEL FINE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	ME 109795	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01074807	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P0014373	OTHER	FL	FLORIDA HEALTHCARE PLUS
3	P943155	OTHER	FL	OPTIMUM
4	9560391	OTHER	FL	CIGNA
5	14L81	OTHER	FL	BCBS FL
6	67679	OTHER	FL	UNIVERSAL HEALTHCARE
7	F00347690601	OTHER	FL	UNITED HEALTHCARE
8	QMP000003993334	OTHER	FL	MOLINA HEALTH
9	1193037	OTHER	FL	WELLCARE
10	P1002647	OTHER	FL	FREEDOM HEALTH
11	9661865	OTHER	FL	AETNA
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164686606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW SAMUEL FINE M.D.

Provider Business Mailing Address
First Line	:	10650 W STATE ROAD 84 STE 204
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-4235
Country	:	US
Telephone Number	:	786-563-3463
Fax Number	:	888-972-5618

Provider Business Practice Location Address
First Line	:	10650 W STATE ROAD 84 STE 204
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-4235
Country	:	US
Telephone Number	:	786-563-3463
Fax Number	:	888-972-5618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	01/22/2026

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