Mehta, Divyesh M

Mehta, Divyesh M is an individual health care provider with primary practice located at 201 Moray Ln Ste B , Winter Park FL 32792-4122. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Mehta, Divyesh M can be contacted via phone (407) 993-2072.

Contact Information

Primary practice address
201 Moray Ln Ste B Winter Park FL 32792-4122
Phone: (407) 993-2072
Fax: (407) 915-9615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO4453 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO4453 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO4453 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO4453 Florida

Profile Details

NPI number 1861075178
LBN Legal business name Mehta, Divyesh M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated Aug 24th, 2026 - about 2 months 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 1861075178 NPPES
Florida Other Y55EA BCBS FL BLUE
Florida Other 16150823 BCBS FL BLUE

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