Provider Demographics
NPI:1477651602
Name:APTER, MATTHEW N (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:N
Last Name:APTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E SYBELIA AVE
Mailing Address - Street 2:SUITE 327
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4763
Mailing Address - Country:US
Mailing Address - Phone:407-644-2525
Mailing Address - Fax:407-644-3307
Practice Address - Street 1:100 E SYBELIA AVE
Practice Address - Street 2:SUITE 327
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4763
Practice Address - Country:US
Practice Address - Phone:407-644-2525
Practice Address - Fax:407-644-3307
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME32579207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL48994OtherBCBS
FL000812100Medicaid
FL48994XMedicare PIN
FL000812100Medicaid
FL48994OtherBCBS