Provider Demographics
NPI:1831183961
Name:DOWDY, MATTHEW AARON (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:AARON
Last Name:DOWDY
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 1:11264 BOYETTE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-8009
Mailing Address - Country:US
Mailing Address - Phone:813-672-2014
Mailing Address - Fax:866-386-1733
Practice Address - Street 1:11264 BOYETTE RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-8009
Practice Address - Country:US
Practice Address - Phone:813-672-2014
Practice Address - Fax:866-386-1733
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-05
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI26306Medicare UPIN
U4293ZMedicare PIN