Mathew, George M

Mathew, George M is an individual health care provider with primary practice located at 732 N 3Rd St , Leesburg FL 34748-4442. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mathew, George M can be contacted via phone (352) 728-2532.

Contact Information

Primary practice address
732 N 3Rd St Leesburg FL 34748-4442
Phone: (352) 728-2532
Fax: (352) 728-3004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME22451 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME22451 Florida
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME22451 Florida

Profile Details

NPI number 1902830888
LBN Legal business name Mathew, George M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 22nd, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902830888 NPPES
Florida MEDICAID 056386200
Florida Other 061907211
Florida Other 35134

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