Organization
BADRI N MEHROTRA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BADRI NATH MEHROTRA MD, PA (PHYSICIAN/OFFICE MANAGER)
(904) 824-9044
Entity
Organization
Contact information
Practice address
301 HEALTH PARK BLVD, SUITE 219, ST. AUGUSTINE, FL 32086
(904) 824-9044
(904) 824-9055
Mailing address
301 HEALTH PARK BLVD, SUITE 219, ST. AUGUSTINE, FL 32086
(904) 824-9044
(904) 824-9055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0021344
FL
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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