Individual
VIJAY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
60 W GORE ST # MP373, ORLANDO, FL 32806
(321) 841-2170
Mailing address
60 W GORE ST # MP373, ORLANDO, FL 32806-1141
(407) 649-6876
(407) 872-0544
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
OS16134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114294900
—
FL
Enumeration date
05/12/2016
Last updated
04/30/2024
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