Dr Judith Del Carmen Mathura, MD | |
110 Pond Ct Ste 203, Debary, FL 32713-2717 | |
(386) 259-4106 | |
(866) 554-1654 |
Full Name | Dr Judith Del Carmen Mathura |
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Gender | Female |
Speciality | Family Medicine |
Location | 110 Pond Ct Ste 203, Debary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609211069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME115042 (Florida) | Primary |
Entity Name | Mathura Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871160960 PECOS PAC ID: 5698177111 Enrollment ID: O20210707000794 |
Mailing Address | Practice Location Address |
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Dr Judith Del Carmen Mathura, MD 110 Pond Ct Ste 203, Debary, FL 32713-2717 Ph: (386) 259-4106 | Dr Judith Del Carmen Mathura, MD 110 Pond Ct Ste 203, Debary, FL 32713-2717 Ph: (386) 259-4106 |
Potenciano D Gonzales, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 386-668-8559 Fax: 386-668-8560 | |
Dr. Frank Mari, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2836 Enterprise Rd, #1, Debary, FL 32713 Phone: 386-753-1948 | |
Dr. Alvan William Barber, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 70 Fox Ridge Ct Ste B, Debary, FL 32713 Phone: 407-625-9486 | |
Dr. John B. Kayoma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713 Phone: 386-516-9770 Fax: 386-516-9770 | |
Dr. Alireza Ebneshahidi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Pond Ct Ste 301302, Debary, FL 32713 Phone: 386-259-4258 | |
Magued Ibrahim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2836 Enterprise Rd, Suite #4, Debary, FL 32713 Phone: 386-951-4538 Fax: 386-259-3689 |