Mr. Matthew Gutstadt

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1013660240

Mr. Matthew Gutstadt is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ft Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in: FL
In the registry since: 2022

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Practice location Address checks out

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

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X · Licence 000787000 (FL)

Record details

NPI number	1013660240
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	January 28, 2022
Last updated in NPPES	January 29, 2022
Certification date	January 29, 2022