| Mathew Medical Consulting Pa | |
|
635 Tuscanny St Brandon FL 33511-6165 | |
| (239) 210-0132 | |
| (239) 210-0134 |
| Full Name | Mathew Medical Consulting Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 635 Tuscanny St, Brandon, Florida |
| Authorized Official Name and Position | Jenifer O Oliveira (CREDENTIALER) |
| Authorized Official Contact | 2392100132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew Medical Consulting Pa 635 Tuscanny St Brandon FL 33511-6165 Ph: (239) 210-0132 | Mathew Medical Consulting Pa 635 Tuscanny St Brandon FL 33511-6165 Ph: (239) 210-0132 |
| NPI Number | 1992082721 |
|---|---|
| Provider Enumeration Date | 11/08/2011 |
| Last Update Date | 11/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992082721 | NPI | - | NPPES |
| 000612200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME102280 (Florida) | Primary |
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