MEDICARE: MARIE USHA MEHTA-PINTARD RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11040409	FL

General Provider Information

NPI Number	:	1770476392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE USHA MEHTA-PINTARD RN

Provider Business Mailing Address
First Line	:	2631 SE 58TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34480-6418
Country	:	US
Telephone Number	:	954-740-4969
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 NE 25TH AVE FL 34470
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-7041
Country	:	US
Telephone Number	:	954-740-4969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	02/23/2026

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