Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO3452 | FL |
NPI | 1114918919 |
---|---|
Provider Name | Dr. Matthew Dean Westerfield |
First Address | Clearwater, FL 33760-3703 |
Second Address | Clearwater, FL 33760-3703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 01/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002726000 | (05) | FL |
2726000 | (05) | FL |
6502S | BCBS (01) | FL |