Provider Demographics
NPI:1437768397
Name:ANTON, MATTHEW
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:ANTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33404-5761
Mailing Address - Country:US
Mailing Address - Phone:718-344-5344
Mailing Address - Fax:
Practice Address - Street 1:181 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:PALM BEACH SHORES
Practice Address - State:FL
Practice Address - Zip Code:33404-5761
Practice Address - Country:US
Practice Address - Phone:718-344-5344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other