Mathew, Mithun
Mathew, Mithun is an individual health care provider with primary practice located at 1255 State Road 60 E Ste 400 , Lake Wales FL 33853-4310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mathew, Mithun can be contacted via phone (863) 676-8237.Contact Information
Primary practice address
1255 State Road 60 E Ste 400
Lake Wales FL 33853-4310
Phone: (863) 676-8237
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS23481 | Florida |
Profile Details
| NPI number | 1568167914 |
|---|---|
| LBN Legal business name | Mathew, Mithun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2023 |
| Last updated | Aug 12th, 2026 - about 2 months 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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