Mathew, Dani
Mathew, Dani is an individual health care provider with primary practice located at 180 Patricia Ave , Dunedin FL 34698-8103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mathew, Dani can be contacted via phone (727) 733-4193.Contact Information
Primary practice address
180 Patricia Ave
Dunedin FL 34698-8103
Phone: (727) 733-4193
Fax: (813) 635-2638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ME101657 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME101657 | Florida |
Profile Details
| NPI number | 1679766414 |
|---|---|
| LBN Legal business name | Mathew, Dani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Oct 18th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679766414 | NPPES |
| Florida | MEDICAID | 001247700 | |
| Florida | Other | P00738915 |
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