Individual
DR. GAURAV MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10065 CORTEZ BLVD, WEEKI WACHEE, FL 34613-6389
(352) 596-4660
(352) 596-4674
Mailing address
10065 CORTEZ BLVD, WEEKI WACHEE, FL 34613-6389
(352) 596-4660
(352) 596-4674
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD444064
PA
207RC0000X
Cardiovascular Disease Physician
Primary
ME121449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013916600
—
FL
01
—
14YM0
BCBS
FL
01
—
P01483698
RR MCR
FL
Enumeration date
07/30/2010
Last updated
07/06/2021
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