Gaurav N Mathur Md Pa | |
7139 N Us Highway 1 Port St John FL 32927-5094 | |
(321) 621-0476 | |
Not Available |
Full Name | Gaurav N Mathur Md Pa |
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Speciality | Internal Medicine |
Location | 7139 N Us Highway 1, Port St John, Florida |
Authorized Official Name and Position | Gaurav Narayan Mathur (MD/CEO) |
Authorized Official Contact | 3216210476 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gaurav N Mathur Md Pa Po Box 1494 Titusville FL 32781-1494 Ph: (321) 621-0476 | Gaurav N Mathur Md Pa 7139 N Us Highway 1 Port St John FL 32927-5094 Ph: (321) 621-0476 |
NPI Number | 1407533573 |
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Provider Enumeration Date | 06/30/2023 |
Last Update Date | 06/30/2023 |
Medicare PECOS PAC ID | 4587011812 |
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Medicare Enrollment ID | O20231108002345 |
Identifier | Type | State | Issuer |
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1407533573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Gaurav Narayan Mathur |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588152367 PECOS PAC ID: 7214300748 Enrollment ID: I20230303002214 |
North Brevard Medical Support, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Port St John Pkwy Ste 2500, Port St John, FL 32927 Phone: 321-504-0556 Fax: 321-504-0773 | |
North Brevard Medical Support, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Port St John Pkwy Ste 2300, Port St John, FL 32927 Phone: 321-633-8660 Fax: 321-633-8617 | |
North Brevard Medical Support, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Port St John Pkwy Ste 2600, Port St John, FL 32927 Phone: 321-504-7375 Fax: 321-504-0737 |