Individual provider · Type 1 NPI

Matthew Keller Maclarty, PHYSICIAN ASSISTANT

General Practice Physician · Estero, FL

NPI number 1699663971 Active

Practice location

3501 Health Center Blvd Ste 1050
Estero, FL 34135-8130

Fax (239) 343-4254

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X9120407 (FL)
Physician Assistant 363A00000XPA9120407 (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.

6 other providers at this address

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About NPI 1699663971

Matthew Keller Maclarty, PHYSICIAN ASSISTANT's National Provider Identifier is 1699663971, issued on Jun 25, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Estero, FL. The record was last updated on Nov 10, 2025.