Provider Demographics
NPI:1720380405
Name:MATTHEW D KAY, M.D., P.A.
Entity Type:Organization
Organization Name:MATTHEW D KAY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-971-1995
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:786-238-7494
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
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MATTHEW D KAY, M.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63126207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372020900Medicaid
FL18371DMedicare PIN
FL18371Medicare PIN
FL372020900Medicaid
FLF47724Medicare UPIN