Individual
DR. J. BENJAMIN MATHIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1851 NW 10TH AVE, MIAMI, FL 33136-1054
(305) 545-2488
Mailing address
1851 NW 10TH AVE, MIAMI, FL 33136-1054
(305) 545-2488
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
ME 112471
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD444608
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MT192720
PA
Other
Enumeration date
06/27/2008
Last updated
05/28/2014
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