Individual
MONAL PATEL MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 972-5753
Mailing address
12479 TELECOM DR, TAMPA, FL 33637-0913
(813) 972-4199
(813) 972-5753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
241742
NY
207P00000X
Emergency Medicine Physician
Primary
ME101062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000172500
—
FL
01
—
48792
BCBS OF FLORIDA
FL
Enumeration date
04/22/2008
Last updated
03/03/2014
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