| Matthew L Fazekas, MD | |
|
1150 N 35th Ave, Suite 345, Hollywood, FL 33021 | |
| (954) 265-6300 | |
| (954) 961-3600 |
| Full Name | Matthew L Fazekas |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Sports Medicine |
| Location | 1150 N 35th Ave, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639469463 | NPI | - | NPPES |
| 015053000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080S0010X | Pediatrics - Sports Medicine | ME124479 (Florida) | Primary |
| Entity Name | South Broward Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407865520 PECOS PAC ID: 8123927373 Enrollment ID: O20070824000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew L Fazekas, MD 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5685 | Matthew L Fazekas, MD 1150 N 35th Ave, Suite 345, Hollywood, FL 33021 Ph: (954) 265-6300 |
Melanie Areopagita, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4651 Sheridan St, Suite # 270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-967-8962 | |
Ralph William Charlton, MD MAS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 N 35th Ave, Suite 520, Hollywood, FL 33021 Phone: 954-265-6984 Fax: 954-981-5516 | |
Mr. Enrique T Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4651 Sheridan St., Suite #270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-378-4775 | |
Ms. Jacinta C Magnus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4651 Sheridan St., Suite #270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-378-4775 | |
Michael D Strong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4500 Sheridan St, Hollywood, FL 33021 Phone: 954-966-8000 Fax: 954-966-6614 | |
Suzy Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3950 N 46th Ave, Hollywood, FL 33021 Phone: 954-962-9022 Fax: 954-966-3616 | |
Tarah Joy Popp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1150 N 35th Ave Ste 490, Hollywood, FL 33021 Phone: 954-265-3437 Fax: 954-265-3731 |