Provider Demographics
NPI:1235174079
Name:PLACHERIL, LILLIBET MATHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:LILLIBET
Middle Name:MATHEW
Last Name:PLACHERIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LILLIBET
Other - Middle Name:
Other - Last Name:MATHEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1906 59TH ST W STE B
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-4639
Mailing Address - Country:US
Mailing Address - Phone:941-795-1915
Mailing Address - Fax:866-305-3603
Practice Address - Street 1:1906 59TH ST W STE B
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-4639
Practice Address - Country:US
Practice Address - Phone:941-795-1915
Practice Address - Fax:866-305-3603
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63167207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25870Medicare PIN
FLEMedicare UPIN