Individual
DR. BIJU T MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 N WASHINGTON AVE, SUITE 100, TITUSVILLE, FL 32796-2152
(321) 383-7600
(321) 383-8111
Mailing address
605 N WASHINGTON AVE, SUITE 100, TITUSVILLE, FL 32796-2152
(321) 383-7600
(321) 383-8111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME89508
FL
207RI0011X
Interventional Cardiology Physician
Primary
89508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2676401-00
—
FL
Enumeration date
05/05/2006
Last updated
09/24/2013
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