Mathew, Sosamma K

Mathew, Sosamma K is an individual health care provider with primary practice located at 3262 Vineland Rd Suite 102, Kissimmee FL 34746-4839. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mathew, Sosamma K can be contacted via phone (866) 422-7367.

Contact Information

Primary practice address
3262 Vineland Rd Suite 102 Kissimmee FL 34746-4839
Phone: (866) 422-7367
Fax: (407) 809-5243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X A1106083 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP1809802 Florida

Profile Details

NPI number 1689733156
LBN Legal business name Mathew, Sosamma K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 25th, 2013 - about 11 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 1689733156 NPPES
Florida MEDICAID 308052800

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