Provider Demographics
NPI:1568462489
Name:KAY, MATTHEW D (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:D
Last Name:KAY
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 1:3520 OAKS WAY
Mailing Address - Street 2:SUITE 503
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-5391
Mailing Address - Country:US
Mailing Address - Phone:954-971-1995
Mailing Address - Fax:305-854-3287
Practice Address - Street 1:9980 CENTRAL PARK BLVD N
Practice Address - Street 2:SUITE 126
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1762
Practice Address - Country:US
Practice Address - Phone:561-487-6600
Practice Address - Fax:561-487-6633
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0063126207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372020900Medicaid
FL18371CMedicare ID - Type Unspecified
FL18371EMedicare ID - Type Unspecified
FL372020900Medicaid
FL18371Medicare ID - Type Unspecified
FL18371DMedicare ID - Type Unspecified