Individual
AJAY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36763 EILAND BLVD STE 103, ZEPHYRHILLS, FL 33542-0600
(813) 994-3389
(813) 355-5051
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS14176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019525800
—
FL
Enumeration date
07/26/2011
Last updated
08/26/2021
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