Individual
DR. AMI BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6619 N WICKHAM RD, MELBOURNE, FL 32940-2006
(321) 259-9500
(321) 253-1777
Mailing address
6619 NORTH WICKHAM ROAD, MELBOURNE, FL 32940-1325
(321) 259-9500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A122965
CA
207QA0505X
Adult Medicine Physician
Primary
ME126694
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/16/2012
Last updated
12/19/2022
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