Mitra, Purushottam
Mitra, Purushottam is an individual health care provider with primary practice located at 1834 Sw 1St Ave Suite 101, Ocala FL 34471-8101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mitra, Purushottam can be contacted via phone (352) 732-5552.Contact Information
Primary practice address
1834 Sw 1St Ave Suite 101
Ocala FL 34471-8101
Phone: (352) 732-5552
Fax: (352) 732-1131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME56306 | Florida |
Profile Details
| NPI number | 1679536528 |
|---|---|
| LBN Legal business name | Mitra, Purushottam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Nov 16th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679536528 | NPPES |
| Florida | MEDICAID | 039454800 |
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