Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW M KENICK, PAC
ActivePhysician Assistant · FORT LAUDERDALE, FL
Registration Details
- NPI Number
- 1922051614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (19.948591573387 yrs)
- Last Updated
- Jul 29, 2025
- License
-
PA3593 (FL)
Practice Information
- Address
-
1625 SE 3RD AVE STE 300FORT LAUDERDALE, FL, 333162521Browse FL providers · Browse ZIP 33316
- Phone
- 9543554665
- Fax
- 9543554881
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT LAUDERDALE, FL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL GARTNER | PA-C | 1487643110 |
| AMY M IANNELLO | PAC | 1700841822 |
| LINDA W NG | PA C | 1720043821 |
| CHARLES BRUCE DELANEY | PA | 1740394246 |
| MS. ERIN C JAMES | PA | 1235248782 |
| DMITRIY REZNIK | P.A. | 1851475776 |
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.