Individual
MOHIT BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1988 GULF TO BAY BLVD, CLEARWATER, FL 33765-3550
(727) 953-8090
(727) 953-8088
Mailing address
1988 GULF TO BAY BLVD, CLEARWATER, FL 33765-3550
(727) 953-8090
(727) 953-8088
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
246504
NY
207X00000X
Orthopaedic Surgery Physician
MD2010-0018
NM
207X00000X
Orthopaedic Surgery Physician
Primary
ME110211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003703900
—
FL
01
—
1085391
CAREPLUS
FL
01
—
14E5A
BCBS OF FLORIDA
FL
01
—
9858391
CIGNA HEALTHCARE
FL
01
—
P00960351
RAILROAD MEDICARE
—
Enumeration date
02/24/2009
Last updated
06/30/2022
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