MEDICARE: MATRISCINO ASSOCIATES,INC.

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	251S00000X	Community/Behavioral Health Agency	P97000056660	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	:	1326381070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATRISCINO ASSOCIATES,INC.

Provider Business Mailing Address
First Line	:	3600 BROADWAY STE 11
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-4844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 BROADWAY STE 11
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-4844
Country	:	US
Telephone Number	:	561-832-7007
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DION MATRISCINO
Credential	:
Telephone Number	:	561-832-7007

Provider Enumeration Date	:	04/01/2013
Last Update Date	:	11/04/2024

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