Individual
BETTY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4152 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404-4811
(561) 844-7699
Mailing address
13616 NORTHUMBERLAND CIR, WELLINGTON, FL 33414-8930
(954) 798-2791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9208333
FL
Other
Enumeration date
03/18/2018
Last updated
03/18/2018
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