Individual
DR. JENNY SUSAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4918 N HABANA AVE, TAMPA, FL 33614-6815
(866) 762-1743
(727) 816-1222
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS18831
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
11/15/2024
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