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General NPI Number Information
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NPI Number | 1558742411
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Entity Type | Individual
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Provider Name | JEET MEHTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1601 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-1135
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Country | US
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Telephone | 352-548-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 SW 16TH STREET SUITE 5130 PO BOX 100288
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City | GAINESVILLE
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State | FL
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Zip | 32608
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Country | US
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Telephone | 352-273-9064
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Fax | 352-846-0314
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME147322
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License Number State | FL
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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 | ME147322
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 94-08581
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME147322
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 94-08581
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License Number State | KS
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