Luke, Mathew

Luke, Mathew is an individual health care provider with primary practice located at 1699 S 14Th St Ste 2 , Fernandina Beach FL 32034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Luke, Mathew can be contacted via phone (904) 427-1370.

Contact Information

Primary practice address
1699 S 14Th St Ste 2 Fernandina Beach FL 32034
Phone: (904) 427-1370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 46998 Florida

Profile Details

NPI number 1790772044
LBN Legal business name Luke, Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jun 28th, 2018 - about 6 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 1790772044 NPPES
Florida MEDICAID 44998900
Florida Other P01593284
Florida Other 042114
Florida MEDICAID 000500497D
Florida Other 1079407
Florida MEDICAID 000500497C
Florida Other 1193388
Florida Other 46791
Florida Other P0022951
Florida Other P10714532
Florida Other 02684

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