Provider Demographics
NPI:1366975732
Name:MUSTO, MATTHEW ANTHONY (DO)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ANTHONY
Last Name:MUSTO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5005 PORT ST JOHN PKWY STE 2200
Mailing Address - Street 2:
Mailing Address - City:PORT ST JOHN
Mailing Address - State:FL
Mailing Address - Zip Code:32927-4305
Mailing Address - Country:US
Mailing Address - Phone:321-433-2247
Mailing Address - Fax:321-635-9310
Practice Address - Street 1:5005 PORT ST JOHN PKWY STE 2200
Practice Address - Street 2:
Practice Address - City:PORT ST JOHN
Practice Address - State:FL
Practice Address - Zip Code:32927-4305
Practice Address - Country:US
Practice Address - Phone:321-433-2247
Practice Address - Fax:321-635-9310
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS19828207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery