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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1902830888 | NPPES |
| Florida | MEDICAID | 056386200 | |
| Florida | Other | 061907211 | |
| Florida | Other | 35134 |
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