MEDICARE: NOVUMHEALTH MEDICAL GROUP FL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	207R00000X	Internal Medicine Physician
3	208000000X	Pediatrics Physician
4	101YM0800X	Mental Health Counselor
5	103TC0700X	Clinical Psychologist
6	207Q00000X	Family Medicine Physician
7	261QM0850X	Adult Mental Health Clinic/Center
8	261QM0855X	Adolescent and Children Mental Health Clinic/Center
9	251S00000X	Community/Behavioral Health Agency
10	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1821860586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVUMHEALTH MEDICAL GROUP FL

Provider Business Mailing Address
First Line	:	10900 WAYZATA BLVD STE 710
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55305-5603
Country	:	US
Telephone Number	:	813-939-8800
Fax Number	:	813-939-8802

Provider Business Practice Location Address
First Line	:	4700 N HABANA AVE STE 600
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7121
Country	:	US
Telephone Number	:	813-939-8800
Fax Number	:	813-939-8802

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. MEHUL MANKAD
Credential	:	MD
Telephone Number	:	919-619-1368

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	11/24/2025

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