Individual
HIREN JITENDRA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8737
Mailing address
PO BOX 918025, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME111107
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME111107
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005930500
—
FL
Enumeration date
04/11/2012
Last updated
08/15/2012
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