MEDICARE: MR. VIPUL B MAMTORA

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	183500000X	Pharmacist	PS37485	FL

General Provider Information

NPI Number	:	1902929565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VIPUL B MAMTORA

Provider Business Mailing Address
First Line	:	1360 ROBERTS RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32259-8928
Country	:	US
Telephone Number	:	904-233-3777
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 UNIVERSITY BLVD N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-5229
Country	:	US
Telephone Number	:	844-224-8493
Fax Number	:

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	12/15/2025

Similar Medicare Providers

1184003311 — AV PHARMA LLC
Practice Location Address:

1545 UNIVERSITY BLVD N
JACKSONVILLE, FL
32211-5229

Practice Phone: 844-224-8493
Practice Fax: 844-324-8493

1316592538 — AV PHARMA LLC
Practice Location Address:

1545 UNIVERSITY BLVD N STE B
JACKSONVILLE, FL
32211-5229

Practice Phone: 877-811-1129
Practice Fax: 855-811-3423

1629589908 — AV PHARMA LLC
Practice Location Address:

1545 UNIVERSITY BLVD N STE C
JACKSONVILLE, FL
32211-5229

Practice Phone: 904-440-0611
Practice Fax: 904-323-4083

1033870209 — AV PHARMA LLC
Practice Location Address:

1545 UNIVERSITY BLVD N STE A
JACKSONVILLE, FL
32211-5229

Practice Phone: 844-224-8493
Practice Fax: 844-324-8493

1841866613 — MR. PRIYAJEET SHEKHAR PAREKH
Practice Location Address:

1545 UNIVERSITY BLVD N
JACKSONVILLE, FL
32211-5229

Practice Phone: 844-224-8493
Practice Fax:

1407956972 — MANDARIN OB-GYN PA
Practice Location Address:

13241 BARTRAM PARK BLVD UNIT 1309
JACKSONVILLE, FL
32258-5229

Practice Phone: 904-288-6910
Practice Fax: 904-288-6916

Directions to “ MR. VIPUL B MAMTORA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.