Organization
MUKESH H MEHTA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESH H MEHTA MD (PRESIDENT)
(352) 754-7222
Entity
Organization
Contact information
Practice address
7145 MARINER BLVD, SPRING HILL, FL 34609-1048
(352) 754-7222
Mailing address
PO BOX 12160, BROOKSVILLE, FL 34603-2160
(352) 754-7222
(352) 754-7207
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0064242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373731400
—
FL
Enumeration date
11/14/2008
Last updated
03/02/2010
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