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Organization
HOSPITALIST GROUP OF SW FL PA
Active
Organization
HOSPITALIST GROUP OF SW FL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONY MATHEW MD (OWNER)
(239) 574-2644
Entity
Organization
Contact information
Practice address
708 DEL PRADO BLVD, SUITE 9, CAPE CORAL, FL 33990-5616
(239) 574-2644
(239) 574-1451
Mailing address
708 DEL PRADO BLVD, S-9, CAPE CORAL, FL 33990-5616
(239) 574-5864
(239) 574-1451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273633100
—
FL
01
—
3718134
CIGNA
FL
01
—
38944
BCBS
FL
01
—
DD9266
RAILROAD PROVIDER NUMBER
FL
Enumeration date
08/03/2006
Last updated
07/23/2009
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