Individual
DR. SONAL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 NW 95TH ST STE 404, MIAMI, FL 33150-2067
(786) 502-9196
Mailing address
9960 CENTRAL PARK BLVD N STE 400, BOCA RATON, FL 33428-1705
(561) 288-5500
(561) 482-1469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053780
IL
207R00000X
Internal Medicine Physician
37165
SC
2084N0400X
Neurology Physician
Primary
ME133931
FL
2084V0102X
Vascular Neurology Physician
MD37165
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084N0400X
TAXONOMY
FL
05
—
371653
—
SC
Enumeration date
04/17/2008
Last updated
06/04/2019
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