Mehta, Mary Bailey

Mehta, Mary Bailey is an individual health care provider with primary practice located at 5153 N 9Th Ave , Pensacola FL 32504-8785. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Mehta, Mary Bailey can be contacted via phone (850) 505-4700.

Contact Information

Primary practice address
5153 N 9Th Ave Pensacola FL 32504-8785
Fax: (850) 505-4772
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME61346 Florida

Profile Details

NPI number 1407860729
LBN Legal business name Mehta, Mary Bailey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Jun 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407860729 NPPES
Florida MEDICAID 374774300
Florida MEDICAID 009940595
Florida MEDICAID 03405385

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