Provider Demographics
NPI:1225676240
Name:ALEXANDER M. MATZ P.A.
Entity type:Organization
Organization Name:ALEXANDER M. MATZ P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:M
Authorized Official - Last Name:MATZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:786-457-5717
Mailing Address - Street 1:1100 90TH ST
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-3210
Mailing Address - Country:US
Mailing Address - Phone:786-457-5717
Mailing Address - Fax:305-866-5450
Practice Address - Street 1:1100 90TH ST
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-3210
Practice Address - Country:US
Practice Address - Phone:786-457-5717
Practice Address - Fax:305-866-5450
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEXANDER M. MATZ P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-20
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty