Individual
ANTONY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1031 SE 9TH PL, UNIT 2, CAPE CORAL, FL 33990-3003
(239) 574-2644
(239) 574-1451
Mailing address
1031 SE 9TH PL, UNIT 2, CAPE CORAL, FL 33990-3003
(239) 574-2644
(239) 574-1451
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME54955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290012967
RAILROAD PROVIDER NUMBER
FL
Enumeration date
10/20/2005
Last updated
07/26/2016
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