MATTHEW LEE ISLAM


Address: 1733 3rd Ave N Apt 11, Lake Worth, FL 33460-3286
Phone: 5613129012

MATTHEW LEE ISLAM (NPI# 1205378940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205378940
Entity Type Individual
Full Name MATTHEW LEE ISLAM
Practice Address 1733 3rd Ave N Apt 11
Lake Worth
FL 33460-3286
Practice Telephone 5613129012
Mailing Telephone 5613129012
Enumeration Date 2016-11-11
Last Update Date 2016-11-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 284300000X Special Hospital Hospitals

Office Location

Street Address 1733 3RD AVE N APT 11
City LAKE WORTH
State FL
Zip Code 33460-3286

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Taxonomy Information

Taxonomy Code 284300000X
Grouping Hospitals
Classification Special Hospital

Taxonomy Definition

A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
Notes: Source: AHA Guide, Registration section, p. A5.

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1033474911 Marathon Verterinary Hospital Inc. Special Hospital 11187 Overseas Hwy, Marathon, FL 33050-3460 2012-07-07
1306158266 Jackson Memorial Hospital Special Hospital 13128 Sw 45th Dr, Miramar, FL 33027-3160 2010-07-08
1962639344 Vanessa Silebi, Md,pa Special Hospital 3661 S Miami Ave Ste 108, Miami, FL 33133-4206 2009-06-12
1164695888 Jensen Beach Animal Hospital, LLC Special Hospital 1553 Ne Arch Ave, Jensen Beach, FL 34957-5755 2008-04-03
1235307554 North Beach Research Institute, LLC Special Hospital 940 S Shore Dr, Miami Beach, FL 33141-2412 2008-02-20
1881874840 Marge Brewster Center Special Hospital 5825 Us 27 N, Sebring, FL 33870-1216 2007-11-07
1144417197 Department of Veterans Affairs Medical Center West Palm Beach Special Hospital 126 5th Street, Jupiter, FL 33458 2007-10-03
1851586333 Joan Pamela Roberts Special Hospital 361 Berenger Walk, Wellington, FL 33414-4345 2007-09-07
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Competitor

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City LAKE WORTH
Zip Code 33460

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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