MEDICARE: DR. ARTHUR J MATZKOWITZ 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	2085R0001X	Radiation Oncology Physician	ME57309	FL
2	2085R0203X	Therapeutic Radiology Physician	ME57309	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00468399	OTHER	FL	RAILROAD MEDICARE

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	:	1588636831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR J MATZKOWITZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:	239-278-3350

Provider Business Practice Location Address
First Line	:	9320 STATE ROAD 54
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-1808
Country	:	US
Telephone Number	:	727-493-2513
Fax Number	:	877-917-2336

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	11/15/2023

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