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Individual

ANUPHA MARIA MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-3173
Mailing address
9643 NW 45TH ST, SUNRISE, FL 33351-5171

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS63734
FL

Other

Enumeration date
02/18/2022
Last updated
02/18/2022
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