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Organization
PRADEEP MATHUR, M.D., P.A.
Active
Organization
PRADEEP MATHUR, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP MATHUR M.D. (OWNER)
(386) 775-7001
Entity
Organization
Contact information
Practice address
999 S VOLUSIA AVE, ORANGE CITY, FL 32763-6564
(386) 775-7001
(386) 774-2561
Mailing address
999 S VOLUSIA AVE, ORANGE CITY, FL 32763-6564
(386) 775-7001
(386) 774-2561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME38056
FL
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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