Individual
MATHEW LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1699 S 14TH ST STE 2, FERNANDINA BEACH, FL 32034
(904) 427-1370
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
46998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000500497C
—
GA
05
—
000500497D
—
GA
01
—
02684
BCBS
FL
01
—
042114
AVMED
FL
01
—
1079407
CAREPLUS
FL
01
—
1193388
WELLCARE
FL
05
—
44998900
—
FL
01
—
46791
BCBS OF FL
FL
01
—
P0022951
FLORIDA HEALTHCARE PLUS
FL
01
—
P01593284
RR MEDICARE
FL
01
—
P10714532
SIMPLY HEALTHCARE
FL
Enumeration date
10/03/2005
Last updated
06/28/2018
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