Mathura Medical Group INC

NPI #1871160960 in Debary, Florida

Provider Information

NPI Number: 1871160960
Entity Type: Organization
Organization Name: Mathura Medical Group INC
Primary Specialty: Family Medicine
Enumeration Date: Jun 7, 2021
Last Updated: Jun 28, 2023

Practice Location

Address: 110 POND CT STE 203
City: Debary
State: Florida
ZIP Code: 32713-2717
Phone: (386) 259-4106

Authorized Official

Name: DR. SHIVA A MATHURA, MD
Title: OWNER
Phone: (386) 259-4106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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