Organization
GEORGE M MATHEW MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORGE M MATHEW MD (MD)
(352) 728-2532
Entity
Organization
Contact information
Practice address
732 N THIRD STREET, LEESBURG, FL 34748
(352) 728-2532
(352) 728-3004
Mailing address
732 N THIRD STREET, LEESBURG, FL 34748
(352) 728-2532
(352) 728-3004
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME22451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00735
BCBS
FL
Enumeration date
07/07/2006
Last updated
08/22/2011
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