DR. MARC FRANCIS MATARAZZO (NPI# 1083678452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083678452 |
| Entity Type | Individual |
| Full Name | DR. MARC FRANCIS MATARAZZO |
| Credential | MD |
| Practice Address |
180 Jfk Dr Atlantis FL 33462-6641 |
| Practice Telephone | 5619676500 |
| Practice Fax Number | 5614234687 |
| Mailing Telephone | 5619676500 |
| Mailing Fax Number | 5614234687 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME85839 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME85839 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000169100 | 05 | |
| NPI | 1083678452 | 01 |
| Street Address |
180 JFK DR |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457310260 | Frederick K Williams | Internal Medicine | 180 Jfk Dr, Suite 210, Atlantis, FL 33462-6607 | 2006-03-21 |
| 1104322056 | Hector Kevin Gonzalez | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr, Atlantis, FL 33462-6641 | 2018-03-31 |
| 1083147201 | Katherine Merry | Internal Medicine | 180 Jfk Dr, Suite 210, Atlantis, FL 33462-6641 | 2017-04-05 |
| 1437680949 | Alexander Herbst | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr, Suite 210, Atlantis, FL 33462-6641 | 2017-03-26 |
| 1164963252 | Orthopedic Center of Palm Beach County Inc | Orthopaedic Surgery | 180 Jfk Dr, Suite 110, Atlantis, FL 33462-6641 | 2017-03-09 |
| 1770033789 | Orthopedic Center of Palm Beach County | Durable Medical Equipment & Medical Supplies | 180 Jfk Dr, Ste 100, Atlantis, FL 33462-6641 | 2016-10-13 |
| 1063960623 | Melissa Hochman | Physical Therapist | 180 Jfk Dr, Atlantis, FL 33462 | 2016-09-13 |
| 1407199185 | Ekaterina Kostioukhina | Internal Medicine | 180 Jfk Dr, Suite 210, Atlantis, FL 33462-6607 | 2013-04-01 |
| 1215279799 | Diana H Marian | Student in an Organized Health Care Education/Training Program | 180 Jfk Dr, Suite 210, Atlantis, FL 33462-6607 | 2013-03-22 |
| 1649523176 | Ronald J. Corbin | Counselor | 180 Jfk Dr, Suite 210, Atlantis, FL 33462-6607 | 2012-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912157751 | Brian Keith Reiter | Orthopaedic Surgery | 130 Jfk Dr, Suite 201, Atlantis, FL 33462-1141 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
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| 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.