Individual
MRS. BEENA MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3624 WELLINGTON LN, BARTOW, FL 33830-8604
(863) 899-6474
Mailing address
3624 WELLINGTON LN, BARTOW, FL 33830-8604
(863) 899-6474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11009304
FL
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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