Individual
VIMESH KIRITKUMAR MITHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2676 W LAKE RD, PALM HARBOR, FL 34684-3120
(727) 786-1000
(727) 786-1055
Mailing address
PO BOX 23021, TAMPA, FL 33623-2021
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA07293100
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
ME93842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276578100
—
FL
01
—
P00376661
RRW MCR
—
Enumeration date
06/03/2006
Last updated
11/29/2024
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