Mathieu, Jean-Wilner

Mathieu, Jean-Wilner is an sole proprietor health care provider with primary practice located at 1234 Ne 4Th Ave Suite A, Fort Lauderdale FL 33304-1925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mathieu, Jean-Wilner can be contacted via phone (954) 779-1667.

Contact Information

Primary practice address
1234 Ne 4Th Ave Suite A Fort Lauderdale FL 33304-1925
Phone: (954) 779-1667
Fax: (954) 760-7253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 0042195 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME 0042195 Florida

Profile Details

NPI number 1629066980
LBN Legal business name Mathieu, Jean-Wilner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Feb 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629066980 NPPES
Florida MEDICAID 062870100

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