Individual ProviderMatthew PensonPediatricsAllopathic & Osteopathic PhysiciansPractice Address8430 W Broward Blvd, Suite 300, Plantation, FL 33324(954) 722-0300PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Penson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1770655581Provider TypeIndividualFull NamePenson, MatthewCredentialMDGenderMaleSole ProprietorNoEnumeration Date11/15/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address8430 W Broward Blvd, Suite 300, Plantation, FL 33324Phone(954) 722-0300Fax(954) 597-0291Mailing LocationMailing Address8430 W Broward Blvd, Suite 300, Plantation, FL 33324Phone(954) 722-0300Fax(954) 597-0291Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME82530Florida