F .Matuk M.D.,P.a.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME036280 Issued in FL

Legal business name

F .MATUK M.D.,P.A.

Practice address

32 Suntree PL
Melbourne, FL 32940-7689

Phone

(321) 752-7001

Fax

(321) 242-1380

NPI assigned

Nov 17, 2011

Last updated

Feb 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fairuz F Matuk, M.D.

Title

Owner

Phone

(321) 752-7001

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": "1328572800000",
    "number": "1457628570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SUNTREE PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407689",
            "telephone_number": "321-752-7001",
            "fax_number": "321-242-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SUNTREE PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407689",
            "telephone_number": "321-752-7001",
            "fax_number": "321-242-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F .MATUK M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "MATUK",
        "authorized_official_first_name": "FAIRUZ",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-752-7001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME036280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.