NPI 1013660240

Matthew Gutstadt

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Ft Lauderdale, FL

Practice location

Address: 750 NE 24th Way, Ft Lauderdale, FL 33304-3569
Phone: (954) 557-0319

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 000787000 (FL)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1013660240
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2022
Record last updated: 29 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.