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NPI Code Detail

MEDICARE: MATTHEW EDWARD MEAGHER PAC

MEDICARE: MATTHEW EDWARD MEAGHER PAC
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
1363AS0400XSurgical Physician AssistantPA9103746FL
2363A00000XPhysician AssistantPA9103746FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00435799OTHERFLRR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1730185356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW EDWARD MEAGHER PAC
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-1614
Fax Number : 239-343-3695
Provider Business Practice Location Address
First Line : 2776 CLEVELAND AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-5864
Country : US
Telephone Number : 239-343-1614
Fax Number : 239-343-3695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 04/22/2026

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Directions to “ MATTHEW EDWARD MEAGHER PAC” Practice Location

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