Matthew Joseph Forestiere
Surgeon Trauma Surgeon
1324 Lakeland Hills Blvd
Lakeland
, Florida 33805
Matthew Joseph Forestiere
Surgeon Trauma Surgeon
1324 Lakeland Hills Blvd
Lakeland
, Florida 33805
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About
Features
Specialties
- Surgeon
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Matthew Joseph Forestiere
- 1324 Lakeland Hills Blvd Managed Care Dept
- Lakeland, FL
- Zip : 33805
- Phone :
Second Address
- Matthew Joseph Forestiere
- 1324 Lakeland Hills Blvd
- Lakeland, FL
- Zip : 33805
- Fax : (863) 284-1730
- Phone : (863) 687-1321
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | A147621 | CA |
| N | 208600000X | Surgeon | A147621 | CA |
| N | 208200000X | Surgeon | BP10042731 | TX |
| N | 208600000X | Surgeon | BP10042731 | TX |
| Y | 2086S0127X | Trauma Surgeon | ME138921 | FL |
National Provider Identifier
| NPI | 1497013312 |
|---|---|
| Provider Name | Matthew Joseph Forestiere |
| First Address | Lakeland, FL 33805 |
| Second Address | Lakeland, FL 33805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2012 |
| Last Update Date | 04/10/2019 |
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.