Individual
MR. ANISH MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1600 US HIGHWAY 27, CLERMONT, FL 34714-5890
(352) 242-4563
Mailing address
13561 TENBURY WELLS WAY, WINTER GARDEN, FL 34787-4760
(407) 573-0237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41912
FL
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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