DR. DANIELLE MATTA (NPI# 1760774327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760774327 |
| Entity Type | Individual |
| Full Name | DR. DANIELLE MATTA |
| Credential | DO |
| Practice Address |
3680 Broadway Fort Myers FL 33901-8005 |
| Mailing Address |
3660 Broadway Fort Myers FL 33901-8005 |
| Practice Telephone | 2399362316 |
| Mailing Telephone | 2399362316 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
OS14290 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790256329 | Danielle Jo Matta | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2018-12-07 |
| Street Address |
3680 BROADWAY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393464 | Michael R Theobald | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2005-08-19 |
| 1619310752 | Kevin Kadakia | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2013-04-08 |
| 1760718845 | Maximo Jose Santiago | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2009-10-26 |
| 1194994509 | Richard Dominick Pagliara Jr. | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2008-02-29 |
| 1447458971 | Darius Biskup | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2007-07-05 |
| 1922202704 | Robert Perez | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2007-06-13 |
| 1457553398 | Paul C Makhlouf | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2007-06-04 |
| 1871707265 | Cyrus Anderson | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2007-05-09 |
| 1720091937 | William N. Wiley | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2006-08-15 |
| 1881608966 | Theresa Dawn Hilley Vensel | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548748098 | James Joseph Paul | Radiology | 11001 Gulf Reflections Dr, Fort Myers, FL 33908-8511 | 2018-08-06 |
| 1619310752 | Kevin Kadakia | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2013-04-08 |
| 1871732842 | Radiology Associates of Tampa Pa | Radiology | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2009-02-13 |
| 1194994509 | Richard Dominick Pagliara Jr. | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744925 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 1480 W Orange Blossom Trl, Apopka, FL 32712-2637 | 2020-03-11 |
| 1194298851 | Ernst Merceron | Radiology | 4649 Caverns Dr, Kissimmee, FL 34758-2504 | 2019-01-05 |
| 1740776723 | Cor Imaging Center Inc | Radiology | 5423 N State Road 7, Tamarac, FL 33319-2921 | 2018-07-02 |
| 1407221096 | Total Diagnostic Solutions LLC | Radiology | 1225 Nw 40th Ave # 2a, Lauderhill, FL 33313-5801 | 2015-12-08 |
| 1891160487 | Total Diagnostic Solutions LLC | Radiology | 15105 Nw 77th Ave # 1a, Miami Lakes, FL 33014-7803 | 2015-12-08 |
| 1720453319 | Total Diagnostic Solutions LLC | Radiology | 8010 W Colonial Dr Ste 162, Orlando, FL 32818-6106 | 2015-12-08 |
| 1013381656 | Sandra Ramos Schneider | Radiology | 4300 S Us Highway 1, Suite 203-293, Jupiter, FL 33477-1198 | 2015-11-19 |
| 1992129324 | East Central Florida Outpatient Imaging, LLC | Radiology | 2090 Saxon Blvd, Suite A, Deltona, FL 32725-3251 | 2014-02-05 |
| 1386985190 | Holy Cross Hospital, Inc. | Radiology | 1115 S. Federal Highway, Fort Lauderdale, FL 33316 | 2013-03-05 |
| 1790079309 | Qmg, LLC | Radiology | 210 S Federal Highway, Suite 401, Hollywood, FL 33020-6811 | 2011-06-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
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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.