Individual provider · Type 1 NPI
Matthew Ivan Rusilko, DO
General Practice Physician · Miami Beach, FL
NPI number
1609140904
Active
Practice location
1819 West Ave Unit 6
Miami Beach, FL 33139-1440
Mailing address
1441 Brickell Ave, Miami Institute Four Seasons Sky Lobby
Miami, FL 33131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 11598 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1609140904
Matthew Ivan Rusilko, DO's National Provider Identifier is 1609140904, issued on Mar 5, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Miami Beach, FL. The record was last updated on Apr 7, 2026.