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Individual
MRS. LOURDES M MATHEW
Active
Individual
MRS. LOURDES M MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME24875
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME24875
FL
207RX0202X
Medical Oncology Physician
ME24875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056387100
—
FL
05
—
056387101
—
FL
01
—
35146
BCBS
FL
Enumeration date
07/10/2006
Last updated
04/30/2008
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