Provider Demographics
NPI:1902872096
Name:LIEF, MATTHEW STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:STEVEN
Last Name:LIEF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:9750 NW 33RD ST
Practice Address - Street 2:SUITE 218
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4042
Practice Address - Country:US
Practice Address - Phone:954-755-3801
Practice Address - Fax:954-755-5229
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2016-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0047605208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0628663OtherCIGNA
FLP01620189OtherRR MEDICARE
FLP101967OtherFREEDOM
FL4072987OtherAETNA
FLP971824OtherOPTIMUM
FL4241OtherDIMENSION
FL00333OtherWELLCARE
FL94449OtherBCBS
FL204620OtherAVMED
FL0628663OtherCIGNA
FL94449OtherBCBS
FL00333OtherWELLCARE