| Mina B Bhatt Md Pa | |
|
103 Tomoka Blvd S Lake Placid FL 33852-8123 | |
| (863) 699-1181 | |
| Not Available |
| Full Name | Mina B Bhatt Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Tomoka Blvd S, Lake Placid, Florida |
| Authorized Official Name and Position | Mina B Bhatt (BUSINESS OWNER) |
| Authorized Official Contact | 8636991181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mina B Bhatt Md Pa 103 Tomoka Blvd S Lake Placid FL 33852-8123 Ph: (863) 699-1181 | Mina B Bhatt Md Pa 103 Tomoka Blvd S Lake Placid FL 33852-8123 Ph: (863) 699-1181 |
| NPI Number | 1710169826 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 12/04/2007 |
| Medicare PECOS PAC ID | 5496720484 |
|---|---|
| Medicare Enrollment ID | O20040901001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710169826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0049354 (Florida) | Primary |
| Provider Name | Mina Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881695096 PECOS PAC ID: 5890760896 Enrollment ID: I20040902000292 |
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