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General NPI Number Information
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NPI Number | 1407894132
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Entity Type | Individual
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Provider Name | VIMESH KIRITKUMAR MITHANI MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 2676 W LAKE RD
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City | PALM HARBOR
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State | FL
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Zip | 34684-3120
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Country | US
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Telephone | 727-786-1000
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Fax | 727-786-1055
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Provider Business Mailing Address
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Address Line | PO BOX 23021
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City | TAMPA
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State | FL
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Zip | 33623-2021
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Country | US
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Telephone | 727-823-2188
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Fax | 727-828-0723
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA07293100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME93842
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License Number State | FL
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