Provider Demographics
NPI:1225676240
Name:ALEXANDER M. MATZ P.A.
Entity Type:Organization
Organization Name:ALEXANDER M. MATZ P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:M
Authorized Official - Last Name:MATZ
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:786-457-5717
Mailing Address - Street 1:2240 N.E. 123RD STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181
Mailing Address - Country:US
Mailing Address - Phone:305-866-5050
Mailing Address - Fax:305-866-5450
Practice Address - Street 1:2240 N.E. 123RD STREET
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181
Practice Address - Country:US
Practice Address - Phone:305-866-5050
Practice Address - Fax:305-866-5450
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEXANDER M. MATZ P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty