Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW GUTSTADT
Active Sole ProprietorMR. MATTHEW GUTSTADT is a Emotionally Disturbed Children Residential Treatment healthcare provider located in FT LAUDERDALE, Florida. NPI 1013660240 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · FT LAUDERDALE, FL
Registration Details
- NPI Number
- 1013660240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2022 (4.5877193930004 yrs)
- Last Updated
- Jan 29, 2022
- License
-
000787000 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 NE 24TH WAYFT LAUDERDALE, FL, 333043569Browse FL providers · Browse ZIP 33304
- Phone
- 9545570319
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.