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

Mr. Matthew Keller Maclarty, PHYSICIANASSISTANT

Individual provider General Practice Physician · NPI 1699663971

Mr. Matthew Keller Maclarty, PHYSICIANASSISTANT is a Physician Assistant in Estero, Florida. Qualified in 2025, 1 year ago. Practices with Lee Health System Inc, a 1,375-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3501 Health Center Blvd Ste 1050
Estero, FL 34135-8130
Phone: (239) 468-0260
Fax: (239) 343-4254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 9120407 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9120407 (FL)

Record details

NPI number1699663971
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Estero