| Vineet Mehta | |
|
345 6th Ave Indialantic FL 32903-4301 | |
| (321) 951-2100 | |
| (321) 951-1204 |
| Full Name | Vineet Mehta |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 345 6th Ave, Indialantic, Florida |
| Authorized Official Name and Position | Vineet Mehta (OWNER) |
| Authorized Official Contact | 3219512100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineet Mehta 345 6th Ave Indialantic FL 32903-4301 Ph: (321) 951-2100 | Vineet Mehta 345 6th Ave Indialantic FL 32903-4301 Ph: (321) 951-2100 |
| NPI Number | 1770528846 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 12/01/2010 |
| Medicare PECOS PAC ID | 7517901291 |
|---|---|
| Medicare Enrollment ID | O20050614000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770528846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | ME0054791 (Florida) | Primary |
| Provider Name | Vineet Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508065921 PECOS PAC ID: 8527056779 Enrollment ID: I20040505000717 |
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