DR. MATTHEW SAMUEL FINE (NPI# 1164686606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164686606 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SAMUEL FINE |
| Credential | M.D. |
| Practice Address |
1951 Sw 172nd Ave Suite 203 Miramar FL 33029-5593 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Fort Myers FL 33907-1412 |
| Practice Telephone | 7865633463 |
| Practice Fax Number | 8889725618 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2016-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME 109795 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA HEALTHCARE PLUS | P0014373 | 01 |
| FL | FREEDOM HEALTH | P1002647 | 01 |
| FL | BCBS FL | 14L81 | 01 |
| FL | AVMED | 356310 | 01 |
| FL | CIGNA | 9560391 | 01 |
| FL | RAILROAD MEDICARE | P01074807 | 01 |
| FL | PREFERRED MEDICAL PLAN | PRV0002504 | 01 |
| FL | 006336000 | 05 | |
| FL | UNITED HEALTHCARE | F00347690601 | 01 |
| FL | SIMPLY HEALTHCARE | P01731847 | 01 |
| FL | MEDICA | 26024 | 01 |
| FL | WELLCARE | 1193037 | 01 |
| FL | JMH HEALTH | 1043332 | 01 |
| FL | CAREPLUS/NEW CENTURY | 1096098 | 01 |
| FL | MOLINA HEALTH | QMP000003993334 | 01 |
| FL | AETNA | 9661865 | 01 |
| FL | UNIVERSAL HEALTHCARE | 67679 | 01 |
| FL | OPTIMUM | P943155 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760437446 | Matthew Norman Fine | Internal Medicine | 2809 Olive Hwy, Suite 350, Oroville, CA 95966 | 2006-05-23 |
| Street Address |
1951 SW 172ND AVE SUITE 203 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33029-5593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660757 | Jay Stuart Gottlieb | Dermatology | 1951 Sw 172nd Ave, Ste 416, Miramar, FL 33029-5615 | 2005-06-22 |
| 1548752488 | Leslie Allison Lewis | Registered Nurse | 1951 Sw 172nd Ave, Miramar, FL 33029 | 2018-06-06 |
| 1841741790 | Jeanette Hernandez | Midwife | 1951 Sw 172nd Ave, Miramar, FL 33029-5593 | 2016-10-16 |
| 1912450289 | Gousse Urology, LLC | Urology | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5593 | 2016-08-03 |
| 1700251709 | Alice Batraville | Nurse Practitioner | 1951 Sw 172nd Ave, Ste 309, Miramar, FL 33029 | 2015-12-02 |
| 1639559750 | Vivian Bilasano Md LLC | Clinic/Center | 1951 Sw 172nd Ave, Suite312, Miramar, FL 33029-5593 | 2015-06-03 |
| 1922487636 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 212, Miramar, FL 33029-5593 | 2015-05-27 |
| 1255710604 | New Day Ob Gyn LLC | Clinic/Center | 1951 Sw 172nd Ave, Suite 315, Miramar, FL 33029-5593 | 2015-05-19 |
| 1407253594 | Comprehensive Womens Center Corp | Obstetrics & Gynecology | 1951 Sw 172nd Ave, Suite 301, Miramar, FL 33029-5593 | 2014-12-04 |
| 1316352545 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 314, Miramar, FL 33029-5593 | 2014-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144659012 | Genesiscare Usa of Florida LLC | Urology | 1951 Sw 172nd Ave, Suite 203, Miramar, FL 33029-5593 | 2013-11-01 |
| 1194097436 | 21st Century Oncology LLC | Urology | 1951 Sw 172nd Ave, Suite 408, Miramar, FL 33029-5593 | 2012-02-02 |
| 1770895864 | Kirin K. Syed | Urology | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5593 | 2010-07-06 |
| 1821028259 | Angelo E Gousse | Urology | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5593 | 2006-07-03 |
| 1700885761 | Michael A Simon | Urology | 1951 Sw 172nd Ave, Suite 300, Miramar, FL 33029-5593 | 2005-07-20 |
| 1134128267 | Eliecer Kurzer | Urology | 1951 Sw 172nd Ave, Suite 300, Miramar, FL 33029-5593 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
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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.