Healthcare Provider Details

I. General information

NPI: 1881695096
Provider Name (Legal Business Name): MINA B BHATT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 US 27 N
SEBRING FL
33870-1637
US

IV. Provider business mailing address

2675 WINKLER AVE STE 200
FORT MYERS FL
33901-9328
US

V. Phone/Fax

Practice location:
  • Phone: 863-385-7077
  • Fax: 863-385-6863
Mailing address:
  • Phone: 877-856-3774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0049354
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: