Individual
SHYJI P MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
311 W OAK ST, KISSIMMEE, FL 34741-4421
(407) 933-1423
Mailing address
12728 SAWGRASS PLANTATION BLVD, ORLANDO, FL 32824-4833
(407) 743-9124
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
11039574
FL
Other
Enumeration date
06/24/2025
Last updated
06/26/2025
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