MEDICARE: DR. LASZLO JOZSEF MATE 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	2084N0400X	Neurology Physician	ME58250	FL
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	ME58250	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	:	1457351934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LASZLO JOZSEF MATE M.D.

Provider Business Mailing Address
First Line	:	824 US HWY1
Second Line	:	#230
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3873
Country	:	US
Telephone Number	:	561-626-5551
Fax Number	:	561-842-4983

Provider Business Practice Location Address
First Line	:	824 US HIGHWAY 1
Second Line	:	#230
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3873
Country	:	US
Telephone Number	:	561-626-5551
Fax Number	:	561-842-4983

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	12/10/2010

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