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Mr. Matthew Gutstadt
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ft Lauderdale, Florida
NPI 1013660240

Matthew Gutstadt is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Ft Lauderdale, FL. Matthew Gutstadt practices in Ft Lauderdale, FL. The NPI Number for Matthew Gutstadt is 1013660240 and holds a License No. 000787000 (Florida).

The current practice location address for Matthew Gutstadt is 750 Ne 24Th Way, Ft Lauderdale, FL and can be reached out via phone at 954-557-0319.

Location: 750 Ne 24Th Way, Ft Lauderdale, FL, 33304-3569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013660240
Provider Name
Matthew Gutstadt
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 Ne 24Th Way, Ft Lauderdale, FL, 33304-3569
Phone Number
954-557-0319
Fax Number
Provider Enumeration Date
01/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 Ne 24Th Way
City
Ft Lauderdale
State
Florida
Zip
33304-3569
Phone Number
954-557-0319
Fax Number
person
Provider Business Mailing Address Details
Address
750 Ne 24Th Way
City
Ft Lauderdale
State
Florida
Zip
33304-3569
Phone Number
954-557-0319
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
000787000 (Florida)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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