Individual provider · Type 1 NPI

Cijo Manu Mathew

Primary Care Nurse Practitioner · New Port Richey, FL

NPI number 1083586846 Active

Practice location

5824 State Road 54
New Port Richey, FL 34652-6002

Call (727) 845-1933 Map

Mailing address

8506 Creedmoor Ln
New Port Richey, FL 34654-4620

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X11042175 (FL)

Primary Care Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1083586846

Cijo Manu Mathew's National Provider Identifier is 1083586846, issued on Sep 22, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New Port Richey, FL. The record was last updated on Sep 22, 2025.