Mathur, Anita K

Mathur, Anita K is an individual health care provider with primary practice located at 999 South Volusia Avenue Ste 102, Orange City FL 32763-6564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mathur, Anita K can be contacted via phone (386) 774-7337.

Contact Information

Primary practice address
999 South Volusia Avenue Ste 102 Orange City FL 32763-6564
Phone: (386) 774-7337
Fax: (385) 774-7445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME67495 Florida

Profile Details

NPI number 1093895476
LBN Legal business name Mathur, Anita K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093895476 NPPES
Florida Other 37584 BCBS
Florida MEDICAID 379425300 BCBS

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