Individual
DR. MAMTA TARAK CHOKSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 493-2513
(877) 917-2336
Mailing address
PO BOX 102222, ATTN: CREDENTIAL DEPARTMENT, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME91652
FL
207RX0202X
Medical Oncology Physician
Primary
ME91652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018539900
—
FL
05
—
273935600
—
FL
01
—
P00296457
RAILROAD MEDICARE
FL
Enumeration date
03/27/2006
Last updated
03/24/2026
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