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NPI Code Detail

MEDICARE: MATTHEW COUCH

MEDICARE:   MATTHEW  COUCH
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
1163WC0200XCritical Care Medicine Registered NurseRN9537557FL

General Provider Information

NPI Number : 1790633840
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW COUCH
Provider Business Mailing Address
First Line : 7520 FRANKFORT ST
Second Line :
City : NAVARRE
State : FL
Zip : 32566-7712
Country : US
Telephone Number : 850-218-9038
Fax Number :
Provider Business Practice Location Address
First Line : 7520 FRANKFORT ST
Second Line :
City : NAVARRE
State : FL
Zip : 32566-7712
Country : US
Telephone Number : 850-218-9038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ MATTHEW COUCH ” Practice Location

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