NPI 1205378940
Matthew Lee Islam
Practice location
- Address
- 1733 3rd Ave N APT 11, Lake Worth, FL 33460-3286
- Phone
- (561) 312-9012
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1205378940
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Nov 2016
- Record last updated
- 11 Nov 2016
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.