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Individual
DR. TED MATHEW
Active
Individual
DR. TED MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME117253
FL
208000000X
Pediatrics Physician
ME117253
FL
208M00000X
Hospitalist Physician
Primary
2021-01005
NC
208M00000X
Hospitalist Physician
ME 117253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010406800
—
FL
01
—
14T6U
BCBSFL
FL
Enumeration date
10/20/2007
Last updated
06/30/2021
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