Dr. Marc Francis Matarazzo
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
705 E Marshall Ave Ste 5000
Longview
, Texas 75601-5660
Dr. Marc Francis Matarazzo
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
705 E Marshall Ave Ste 5000
Longview
, Texas 75601-5660
(561) 423-4687
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Marc Francis Matarazzo
- 180 Jfk Dr
- Atlantis, FL
- Zip : 33462-6641
- Fax : (561) 423-4687
- Phone : (561) 967-6500
Second Address
- Dr. Marc Francis Matarazzo
- 705 E Marshall Ave Ste 5000
- Longview, TX
- Zip : 75601-5660
- Phone : (903) 315-3646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | ME85839 | FL |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME85839 | FL |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | S8206 | TX |
National Provider Identifier
| NPI | 1083678452 |
|---|---|
| Provider Name | Dr. Marc Francis Matarazzo |
| First Address | Atlantis, FL 33462-6641 |
| Second Address | Longview, TX 75601-5660 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 05/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000169100 | (05) | FL |
| 1083678452 | NPI (01) | |
| 1I3696 | MEDICARE (01) | TX |
| H69115 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.