Individual
CIJO MANU MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5824 STATE ROAD 54, NEW PORT RICHEY, FL 34652-6002
(727) 845-1933
Mailing address
8506 CREEDMOOR LN, NEW PORT RICHEY, FL 34654-4620
(727) 845-1933
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11042175
FL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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