| Mathura Medical Group Inc | |
|
110 Pond Ct Ste 203 Debary FL 32713-2717 | |
| (386) 259-4106 | |
| (866) 554-1654 |
| Full Name | Mathura Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Pond Ct Ste 203, Debary, Florida |
| Authorized Official Name and Position | Shiva A Mathura (OWNER) |
| Authorized Official Contact | 3862594106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathura Medical Group Inc 110 Pond Ct Ste 203 Debary FL 32713-2717 Ph: (386) 259-4106 | Mathura Medical Group Inc 110 Pond Ct Ste 203 Debary FL 32713-2717 Ph: (386) 259-4106 |
| NPI Number | 1871160960 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 06/28/2023 |
| Medicare PECOS PAC ID | 5698177111 |
|---|---|
| Medicare Enrollment ID | O20210707000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871160960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Judith Mathura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609211069 PECOS PAC ID: 5597906529 Enrollment ID: I20130802000209 |
| Provider Name | Shiva A Mathura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912247719 PECOS PAC ID: 0648413120 Enrollment ID: I20130903000022 |
Potenciano Gonzales Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 386-668-8559 | |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713 Phone: 407-845-0330 | |
Premier Physician Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 301, Debary, FL 32713 Phone: 818-575-0204 | |
Florida Injury Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 N Pine Meadow Dr, Debary, FL 32713 Phone: 386-742-7312 | |
Humberto A Dominguez Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite A, Debary, FL 32713 Phone: 386-668-4411 Fax: 386-668-8688 | |
Spahana Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Spring Vista Dr, Debary, FL 32713 Phone: 386-279-3087 Fax: 386-516-6136 | |
Potenciano D Gonzales Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite B, Debary, FL 32713 Phone: 386-668-8559 Fax: 386-668-8560 |