| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW ROBERT BIDWELL | 1447837125 | 2024-05-12 |
Matthew Robert Bidwell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447837125. Registration indicates Matthew Robert Bidwell is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Matthew Robert Bidwell MD |
| Practice Office Address | 703 N FLAMINGO RD PEMBROKE PINES, FL US |
| Practice Office Telephone | 9544365000 |
| Mailing Address | 4303 SW 120TH WAY APT 206 MIRAMAR, FL 330257709 US |
| Business Telephone | 8455198813 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1000 Blythe Blvd | Charlotte, NC 282035812 | 7043552000 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |