Individual
GAURAV NARAYAN MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 GARDEN ST, TITUSVILLE, FL 32796-3405
(321) 383-0298
(321) 225-8050
Mailing address
1185 SAND PINE CIR, TITUSVILLE, FL 32796-3635
(321) 591-4028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.246390
OH
207R00000X
Internal Medicine Physician
ME159301
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME159301
FL
Other
Enumeration date
04/26/2018
Last updated
08/05/2025
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