Individual
CAROL M MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2903
(352) 265-0301
(508) 334-6490
Mailing address
PO BOX 100276, GAINESVILLE, FL 32610-0276
(352) 265-7996
(352) 265-7996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
269221
MA
207RH0003X
Hematology & Oncology Physician
Primary
ME146143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107538800
—
FL
Enumeration date
06/20/2013
Last updated
09/04/2020
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