Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mithun Mathew

Individual provider Family Medicine Physician · NPI 1568167914

Mithun Mathew is a Family Medicine Physician in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

1255 State Road 60 E Ste 400
Lake Wales, FL 33853-4310
Phone: (863) 676-8237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS23481 (FL)

Record details

NPI number1568167914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address1255 State Road 60 E Ste 400, Lake Wales, FL 33853-4310

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