Mina B Bhatt MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0049354 Issued in FL

Legal business name

MINA B BHATT MD PA

Practice address

103 Tomoka Blvd S
Lake Placid, FL 33852-8123

Phone

(863) 699-1181

NPI assigned

Nov 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mina B Bhatt, MDNPI 1881695096

Title

Business Owner

Phone

(863) 699-1181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mina B Bhatt, MD

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1881695096
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1710169826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TOMOKA BLVD S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528123",
            "telephone_number": "863-699-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TOMOKA BLVD S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528123",
            "telephone_number": "863-699-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA B BHATT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "863-699-1181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0049354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sabrena McCullough
• Guyron Levan Mills, DPT
• Mindful Aspiration Life Skills LLC
• Cocel Ann Frivaldo Moraga
• Melinda S Murray, PHARMACIST
• Neil Shechtman MD PA
• Nic 4 Balmoral Leasing LLC (Balmoral Assisted Living)

• Internal Medicine Physician in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.