Organization Active NPI

Florida Mat Physicians, LLC

  • Health Service Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1265959357
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FLORIDA MAT PHYSICIANS, LLC
Practice address
3113 Stirling Rd Ste 103
Fort Lauderdale, FL 33312-6547
Phone
(954) 995-3805
NPI assigned
Aug 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Samuel Rogatinsky
Title
Managing Member
Phone
(954) 995-3805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

3113 Stirling Rd Ste 103
Fort Lauderdale, FL 33312-6547

Mailing address

3113 Stirling Rd Ste 103
Fort Lauderdale, FL 33312-6547
Phone (954) 995-3805

National Provider Directory

National Provider Directory

Locations

3113 Stirling Rd
Ste 103
Fort Lauderdale, FL 33312
Phone (954) 995-3805

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265959357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 STIRLING RD STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126547",
            "telephone_number": "954-995-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 STIRLING RD STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126547",
            "telephone_number": "954-995-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MAT PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGATINSKY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-995-3805"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.