Individual
DR. NIVEDITA MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11373 CORTEZ BLVD STE 301, BROOKSVILLE, FL 34613-5411
(352) 293-3467
(352) 293-4438
Mailing address
PO BOX 3399, SPRING HILL, FL 34611-3399
(352) 293-3467
(352) 293-4438
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME121537
FL
2084P0800X
Psychiatry Physician
MT195787
PA
2084P0805X
Geriatric Psychiatry Physician
ME121537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014665700
—
FL
Enumeration date
11/30/2010
Last updated
04/21/2023
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