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General NPI Number Information
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NPI Number | 1134218357
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Entity Type | Organization
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Legal Business Name | RAMESHWAR N MATHUR MD PA
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6250 N US 1
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City | COCOA
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State | FL
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Zip | 32927
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Country | US
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Telephone | 321-631-6402
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Fax | 321-633-7041
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Provider Business Mailing Address
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Address Line | PO BOX 10120
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City | COCOA
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State | FL
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Zip | 32927-0120
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Country | US
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Telephone | 321-631-6402
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Fax | 321-633-7041
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Authorized Official
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Title or Position | DIRECTOR
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Name | RAMESHWAR N MATHUR
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Credential | MD
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Telephone | 321-631-6402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0044769
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME0046184
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License Number State | FL
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