Search › Florida › 208M00000X
Otakhon Matchanov, MD
NPI 1578158333 · on the registry since 2021 · sole proprietor
Practice
- Address
- 12600 Creekside Ln Ste 2
Fort Myers, FL 33919 - Phone
- (239) 343-9235
- Organisation at this address
- Lmr Imaging
Lee Health System Inc
Lee Health System Inc
Lee Memorial Health System
Neurology Associates Of Lee CountyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 100 E 77th St, New York, NY
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 2084N0600X
- Licence states on file
- FL, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida