Provider Demographics
NPI:1194314633
Name:MATHEWS, TURREL (RPH)
Entity type:Individual
Prefix:
First Name:TURREL
Middle Name:
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8905 BRYAN DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1102
Mailing Address - Country:US
Mailing Address - Phone:727-393-7542
Mailing Address - Fax:
Practice Address - Street 1:8905 BRYAN DAIRY RD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-1102
Practice Address - Country:US
Practice Address - Phone:727-393-7542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSI39117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist