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Individual

DANA MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
925 BENNINGTON DR, RM 1107G W WING, RALEIGH, NC 27615-1206
(919) 937-7198

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME128175
FL

Other

Enumeration date
05/02/2007
Last updated
10/24/2016
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