Individual
KETAN MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 DALE MABRY HWY, LUTZ, FL 33548-3021
(813) 549-5678
(407) 671-4155
Mailing address
1005 DALE MABRY HWY FL 33548, LUTZ, FL 33548-3021
(813) 549-5678
(407) 671-4155
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4149
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4149
FL
Other
Enumeration date
04/26/2018
Last updated
01/02/2026
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