MEDICARE: VICTOR MATTHEWS MD PA

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME93340	FL

General Provider Information

NPI Number	:	1851547400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTOR MATTHEWS MD PA

Provider Business Mailing Address
First Line	:	213 S DILLARD ST STE 130
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3596
Country	:	US
Telephone Number	:	407-614-1644
Fax Number	:	407-614-1635

Provider Business Practice Location Address
First Line	:	213 S DILLARD ST STE 130
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3596
Country	:	US
Telephone Number	:	407-614-1644
Fax Number	:	407-614-1635

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	VICTOR MATTHEWS
Credential	:	MD
Telephone Number	:	407-614-1644

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	08/28/2019

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