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Contact Information

NIVEDITA MATHUR, MD
11373 CORTEZ BLVD STE 301
BROOKSVILLE, FL34613-5411
 Phone: 352-293-3467
 Fax: 352-293-4438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NIVEDITA MATHUR · (Female)

NPI # 1780986448
Status Active
Credentials MD
Entity Individual
Enumeration date 11/30/2010
Last updated 04/21/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME121537
  • PA License # MT195787
  • FL Medicaid 014665700
Hospital affiliation(s)
  • OAK HILL HOSPITAL - (Acute Care)
    11375 CORTEZ BLVD
    BROOKSVILLE, FL 34613
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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