Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Otakhon Matchanov, MD

Individual provider Hospitalist Physician · NPI 1578158333

Dr. Otakhon Matchanov, MD is a Hospitalist Physician in Fort Myers, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12600 Creekside Ln Ste 2
Fort Myers, FL 33919-3353
Phone: (239) 343-9235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E 77th St, New York, NY 10075-1850 — (212) 434-6400

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence ME182444 (FL)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence 338571-01 (NY)

Record details

NPI number1578158333
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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