Michael Matuszczak DC, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 4620 Issued in FL

Legal business name

MICHAEL MATUSZCZAK DC, PA

Practice address

3 Florida Park Dr N
Palm Coast, FL 32137-8189

Phone

(386) 445-4455

Fax

(386) 445-4110

NPI assigned

Nov 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Matuszczak, DC

Title

Member

Phone

(386) 445-4455

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1154698298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FLORIDA PARK DR N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378189",
            "telephone_number": "386-445-4455",
            "fax_number": "386-445-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FLORIDA PARK DR N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378189",
            "telephone_number": "386-445-4455",
            "fax_number": "386-445-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MATUSZCZAK DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MATUSZCZAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "386-445-4455",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH  4620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.