MEDICARE: MR. MATTHEW C G LIWSKI DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	SC005768	PA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO4321	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316137383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW C G LIWSKI DPM

Provider Business Mailing Address
First Line	:	700 8TH AVE W STE 101
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-4737
Country	:	US
Telephone Number	:	941-776-4000
Fax Number	:	941-845-4963

Provider Business Practice Location Address
First Line	:	1000 S MERCER ST
Second Line	:	4TH FLOOR JAMESON SOUTH
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-4672
Country	:	US
Telephone Number	:	724-654-5433
Fax Number	:	724-654-3278

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

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	11/23/2021

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Directions to “ MR. MATTHEW C G LIWSKI DPM” Practice Location

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